D5851
HCPCS Procedure Code
HCPCS code D5851 is the #4,091 most-billed Medicaid procedure code, with $860K in payments across 15K claims from 2018–2024. The national median cost per claim is $69.49.
Total Paid
$860K
0.00% of all spending
Total Claims
15K
Providers
46
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for D5851? Based on 42 providers billing this code nationally.
Median
$69.49
Average
$65.12
Std Dev
$13.58
Max
$78.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $68.01 and $70.00 per claim for this code.
90% bill between $54.53 and $70.00.
Top 1% bill above $75.32.
About This Procedure
HCPCS code D5851 was billed by 46 providers across 15K claims, totaling $860K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$69.49
Providers Billing
42
National Spending
$860K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5851
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336384619 | $216K |
| 2 | 1316340342 | $119K |
| 3 | 1184058984 | $79K |
| 4 | 1710036181 | $64K |
| 5 | 1285799353 | $51K |
| 6 | 1134799984 | $47K |
| 7 | 1144766528 | $36K |
| 8 | 1508048224 | $34K |
| 9 | 1033105481 | $31K |
| 10 | 1083005698 | $29K |
| 11 | 1720120652 | $25K |
| 12 | 1912430778 | $20K |
| 13 | 1942717343 | $15K |
| 14 | 1962600742 | $13K |
| 15 | 1376689240 | $10K |
| 16 | 1477638336 | $8K |
| 17 | 1447423546 | $7K |
| 18 | 1760503098 | $7K |
| 19 | 1982991311 | $5K |
| 20 | 1932455631 | $5K |
Showing top 20 of 46 providers billing this code