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#8055 of 11K

D5612

HCPCS Procedure Code

HCPCS code D5612 is the #8,055 most-billed Medicaid procedure code, with $7K in payments across 172 claims from 2018–2024. The national median cost per claim is $71.08.

Total Paid

$7K

0.00% of all spending

Total Claims

172

Providers

5

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for D5612? Based on 5 providers billing this code nationally.

Median

$71.08

Average

$55.80

Std Dev

$24.27

Max

$77.58

Percentile Distribution (Cost per Claim)

p10
$28.97
p25
$31.71
Median
$71.08
p75
$71.50
p90
$75.15
p95
$76.36
p99
$77.33

50% of providers bill between $31.71 and $71.50 per claim for this code.

90% bill between $28.97 and $75.15.

Top 1% bill above $77.33.

About This Procedure

HCPCS code D5612 was billed by 5 providers across 172 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 106 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.08

Providers Billing

5

National Spending

$7K

Avg/Median Ratio

0.79×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5612

#ProviderTotal Paid
11407146111$3K
21245339092$1K
31942717343$924
41912046160$858
51740271022$539

Showing top 5 of 5 providers billing this code