#1639 of 11K

D7220

HCPCS Procedure Code

HCPCS code D7220 is the #1,639 most-billed Medicaid procedure code, with $17.2M in payments across 132K claims from 2018–2024. The national median cost per claim is $138.00.

Total Paid

$17.2M

0.00% of all spending

Total Claims

132K

Providers

414

Avg Cost/Claim

$130

National Cost Distribution

How much do providers bill per claim for D7220? Based on 404 providers billing this code nationally.

Median

$138.00

Average

$136.75

Std Dev

$50.94

Max

$383.40

Percentile Distribution (Cost per Claim)

p10

$80.79

p25

$105.70

Median

$138.00

p75

$157.54

p90

$191.62

p95

$220.65

p99

$328.08

50% of providers bill between $105.70 and $157.54 per claim for this code.

90% bill between $80.79 and $191.62.

Top 1% bill above $328.08.

About This Procedure

HCPCS code D7220 was billed by 414 providers across 132K claims, totaling $17.2M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$138.00

Providers Billing

404

National Spending

$17.2M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1295752194	$790K	$126.72	0.9× median	Below Median
2	1295186708	$578K	$180.96	1.3× median	Above 75th
3	1275998270	$488K	$108.79	0.8× median	Below Median
4	1760633341	$470K	$138.56	1.0× median	Above Median
5	1124478607	$460K	$147.66	1.1× median	Above Median
6	1053595579	$455K	$113.93	0.8× median	Below Median
7	1679976161	$403K	$103.39	0.7× median	Below Median
8	1770948689	$385K	$108.53	0.8× median	Below Median
9	1043367642	$366K	$182.41	1.3× median	Above 75th
10	1407809585	$306K	$154.68	1.1× median	Above Median
11	1669435806	$289K	$269.44	2.0× median	Top 10%
12	1700178555	$289K	$128.43	0.9× median	Below Median
13	1134584055	$289K	$119.83	0.9× median	Below Median
14	1427194851	$264K	$128.51	0.9× median	Below Median
15	1760869796	$254K	$138.82	1.0× median	Above Median
16	1962753608	$235K	$180.33	1.3× median	Above 75th
17	1043437866	$232K	$137.52	1.0× median	Below Median
18	1144373721	$224K	$137.08	1.0× median	Below Median
19	1134240922	$224K	$120.21	0.9× median	Below Median
20	1518099274	$199K	$130.79	0.9× median	Below Median

Showing top 20 of 414 providers billing this code

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