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#4211 of 11K

D5711

HCPCS Procedure Code

HCPCS code D5711 is the #4,211 most-billed Medicaid procedure code, with $753K in payments across 2,526 claims from 2018–2024. The national median cost per claim is $302.36.

Total Paid

$753K

0.00% of all spending

Total Claims

2,526

Providers

4

Avg Cost/Claim

$298

National Cost Distribution

How much do providers bill per claim for D5711? Based on 4 providers billing this code nationally.

Median

$302.36

Average

$293.98

Std Dev

$19.35

Max

$305.88

Percentile Distribution (Cost per Claim)

p10
$275.48
p25
$290.72
Median
$302.36
p75
$305.63
p90
$305.78
p95
$305.83
p99
$305.87

50% of providers bill between $290.72 and $305.63 per claim for this code.

90% bill between $275.48 and $305.78.

Top 1% bill above $305.87.

About This Procedure

HCPCS code D5711 was billed by 4 providers across 2,526 claims, totaling $753K in Medicaid payments from 2018–2024. This code was used for 2,405 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$302.36

Providers Billing

4

National Spending

$753K

Avg/Median Ratio

0.97×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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