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#5429 of 11K

D5760

HCPCS Procedure Code

HCPCS code D5760 is the #5,429 most-billed Medicaid procedure code, with $202K in payments across 1,590 claims from 2018–2024. The national median cost per claim is $182.18.

Total Paid

$202K

0.00% of all spending

Total Claims

1,590

Providers

16

Avg Cost/Claim

$127

National Cost Distribution

How much do providers bill per claim for D5760? Based on 16 providers billing this code nationally.

Median

$182.18

Average

$153.67

Std Dev

$51.28

Max

$216.19

Percentile Distribution (Cost per Claim)

p10
$84.05
p25
$116.04
Median
$182.18
p75
$190.77
p90
$205.06
p95
$214.64
p99
$215.88

50% of providers bill between $116.04 and $190.77 per claim for this code.

90% bill between $84.05 and $205.06.

Top 1% bill above $215.88.

About This Procedure

HCPCS code D5760 was billed by 16 providers across 1,590 claims, totaling $202K in Medicaid payments from 2018–2024. This code was used for 1,447 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$182.18

Providers Billing

16

National Spending

$202K

Avg/Median Ratio

0.84×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5760

#ProviderTotal Paid
11407146111$106K
21497743769$20K
31962600742$13K
41710036181$12K
51184058984$8K
61205053899$7K
71720106982$7K
81407463086$6K
91780450577$6K
101285799353$4K
111134420110$3K
121073522280$3K
131912036724$2K
141477923100$2K
151811137813$2K
161730231648$1K

Showing top 16 of 16 providers billing this code