D5511
HCPCS Procedure Code
HCPCS code D5511 is the #7,271 most-billed Medicaid procedure code, with $23K in payments across 404 claims from 2018–2024. The national median cost per claim is $48.94.
Total Paid
$23K
0.00% of all spending
Total Claims
404
Providers
4
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for D5511? Based on 4 providers billing this code nationally.
Median
$48.94
Average
$54.35
Std Dev
$28.87
Max
$93.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.10 and $66.19 per claim for this code.
90% bill between $30.58 and $82.45.
Top 1% bill above $92.21.
About This Procedure
HCPCS code D5511 was billed by 4 providers across 404 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 347 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.94
Providers Billing
4
National Spending
$23K
Avg/Median Ratio
1.11×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.