D5630
HCPCS Procedure Code
HCPCS code D5630 is the #5,905 most-billed Medicaid procedure code, with $121K in payments across 1,277 claims from 2018–2024. The national median cost per claim is $116.67.
Total Paid
$121K
0.00% of all spending
Total Claims
1,277
Providers
9
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for D5630? Based on 9 providers billing this code nationally.
Median
$116.67
Average
$126.64
Std Dev
$48.10
Max
$239.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $103.62 and $140.00 per claim for this code.
90% bill between $85.05 and $159.94.
Top 1% bill above $231.74.
About This Procedure
HCPCS code D5630 was billed by 9 providers across 1,277 claims, totaling $121K in Medicaid payments from 2018–2024. This code was used for 977 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$116.67
Providers Billing
9
National Spending
$121K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5630
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669697561 | $47K |
| 2 | 1407146111 | $31K |
| 3 | 1376932459 | $15K |
| 4 | 1992809420 | $14K |
| 5 | 1437489291 | $3K |
| 6 | 1376689240 | $3K |
| 7 | 1619216405 | $3K |
| 8 | 1720120652 | $3K |
| 9 | 1942717343 | $1K |
Showing top 9 of 9 providers billing this code