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#8126 of 11K

D5730

HCPCS Procedure Code

HCPCS code D5730 is the #8,126 most-billed Medicaid procedure code, with $6K in payments across 874 claims from 2018–2024. The national median cost per claim is $98.00.

Total Paid

$6K

0.00% of all spending

Total Claims

874

Providers

6

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for D5730? Based on 3 providers billing this code nationally.

Median

$98.00

Average

$86.87

Std Dev

$81.63

Max

$162.36

Percentile Distribution (Cost per Claim)

p10
$19.79
p25
$49.12
Median
$98.00
p75
$130.18
p90
$149.49
p95
$155.92
p99
$161.07

50% of providers bill between $49.12 and $130.18 per claim for this code.

90% bill between $19.79 and $149.49.

Top 1% bill above $161.07.

About This Procedure

HCPCS code D5730 was billed by 6 providers across 874 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 845 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.00

Providers Billing

3

National Spending

$6K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5730

#ProviderTotal Paid
11932455631$4K
21568553105$2K
31972970671$33
41598970162$0
51386848695$0
61235338708$0

Showing top 6 of 6 providers billing this code