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#4752 of 11K

D5761

HCPCS Procedure Code

HCPCS code D5761 is the #4,752 most-billed Medicaid procedure code, with $420K in payments across 3,068 claims from 2018–2024. The national median cost per claim is $156.82.

Total Paid

$420K

0.00% of all spending

Total Claims

3,068

Providers

22

Avg Cost/Claim

$137

National Cost Distribution

How much do providers bill per claim for D5761? Based on 22 providers billing this code nationally.

Median

$156.82

Average

$148.61

Std Dev

$49.75

Max

$249.79

Percentile Distribution (Cost per Claim)

p10
$83.00
p25
$107.35
Median
$156.82
p75
$187.18
p90
$195.88
p95
$196.00
p99
$238.49

50% of providers bill between $107.35 and $187.18 per claim for this code.

90% bill between $83.00 and $195.88.

Top 1% bill above $238.49.

About This Procedure

HCPCS code D5761 was billed by 22 providers across 3,068 claims, totaling $420K in Medicaid payments from 2018–2024. This code was used for 2,773 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$156.82

Providers Billing

22

National Spending

$420K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5761

#ProviderTotal Paid
11407146111$196K
21962600742$58K
31497743769$31K
41285799353$21K
51225151541$20K
61710036181$16K
71184058984$15K
81205053899$15K
91134420110$9K
101073522280$8K
111033105481$5K
121407463086$4K
131730231648$3K
141376766782$3K
151942717343$2K
161720106982$2K
171194905927$2K
181447423546$2K
191780450577$2K
201952683286$2K

Showing top 20 of 22 providers billing this code