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#7490 of 11K

D5740

HCPCS Procedure Code

HCPCS code D5740 is the #7,490 most-billed Medicaid procedure code, with $16K in payments across 169 claims from 2018–2024. The national median cost per claim is $98.00.

Total Paid

$16K

0.00% of all spending

Total Claims

169

Providers

3

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for D5740? Based on 3 providers billing this code nationally.

Median

$98.00

Average

$96.74

Std Dev

$2.18

Max

$98.00

Percentile Distribution (Cost per Claim)

p10
$94.98
p25
$96.12
Median
$98.00
p75
$98.00
p90
$98.00
p95
$98.00
p99
$98.00

50% of providers bill between $96.12 and $98.00 per claim for this code.

90% bill between $94.98 and $98.00.

Top 1% bill above $98.00.

About This Procedure

HCPCS code D5740 was billed by 3 providers across 169 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 167 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.00

Providers Billing

3

National Spending

$16K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.