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#3526 of 11K

D6240

HCPCS Procedure Code

HCPCS code D6240 is the #3,526 most-billed Medicaid procedure code, with $1.6M in payments across 1,811 claims from 2018–2024. The national median cost per claim is $913.39.

Total Paid

$1.6M

0.00% of all spending

Total Claims

1,811

Providers

5

Avg Cost/Claim

$865

National Cost Distribution

How much do providers bill per claim for D6240? Based on 3 providers billing this code nationally.

Median

$913.39

Average

$949.13

Std Dev

$81.51

Max

$1,042.40

Percentile Distribution (Cost per Claim)

p10
$895.95
p25
$902.49
Median
$913.39
p75
$977.90
p90
$1,016.60
p95
$1,029.50
p99
$1,039.82

50% of providers bill between $902.49 and $977.90 per claim for this code.

90% bill between $895.95 and $1,016.60.

Top 1% bill above $1,039.82.

About This Procedure

HCPCS code D6240 was billed by 5 providers across 1,811 claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 1,006 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$913.39

Providers Billing

3

National Spending

$1.6M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D6240

#ProviderTotal Paid
11841308087$1.4M
21811073992$103K
31356801799$28K
41972709764$0
51114049897$0

Showing top 5 of 5 providers billing this code

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