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#3824 of 11K

D5850

HCPCS Procedure Code

HCPCS code D5850 is the #3,824 most-billed Medicaid procedure code, with $1.1M in payments across 20K claims from 2018–2024. The national median cost per claim is $69.47.

Total Paid

$1.1M

0.00% of all spending

Total Claims

20K

Providers

61

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for D5850? Based on 57 providers billing this code nationally.

Median

$69.47

Average

$66.60

Std Dev

$12.33

Max

$90.25

Percentile Distribution (Cost per Claim)

p10
$61.42
p25
$67.08
Median
$69.47
p75
$70.00
p90
$70.13
p95
$75.34
p99
$88.57

50% of providers bill between $67.08 and $70.00 per claim for this code.

90% bill between $61.42 and $70.13.

Top 1% bill above $88.57.

About This Procedure

HCPCS code D5850 was billed by 61 providers across 20K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.47

Providers Billing

57

National Spending

$1.1M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5850

#ProviderTotal Paid
11336384619$284K
21316340342$159K
31184058984$70K
41508048224$64K
51710036181$62K
61285799353$49K
71134799984$49K
81144766528$47K
91083005698$40K
101033105481$35K
111912430778$32K
121982991311$32K
131720120652$27K
141376689240$14K
151942717343$12K
161447423546$12K
171649470519$12K
181053415679$10K
191194905927$9K
201760503098$8K

Showing top 20 of 61 providers billing this code

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