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#4210 of 11K

D7260

HCPCS Procedure Code

HCPCS code D7260 is the #4,210 most-billed Medicaid procedure code, with $754K in payments across 2K claims from 2018–2024. The national median cost per claim is $301.32.

Total Paid

$754K

0.00% of all spending

Total Claims

2K

Providers

8

Avg Cost/Claim

$396

National Cost Distribution

How much do providers bill per claim for D7260? Based on 8 providers billing this code nationally.

Median

$301.32

Average

$326.81

Std Dev

$154.88

Max

$562.51

Percentile Distribution (Cost per Claim)

p10
$188.00
p25
$264.32
Median
$301.32
p75
$392.82
p90
$528.20
p95
$545.36
p99
$559.08

50% of providers bill between $264.32 and $392.82 per claim for this code.

90% bill between $188.00 and $528.20.

Top 1% bill above $559.08.

About This Procedure

HCPCS code D7260 was billed by 8 providers across 2K claims, totaling $754K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$301.32

Providers Billing

8

National Spending

$754K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7260

#ProviderTotal Paid
11356562342$253K
21295752194$221K
31932361672$129K
41346397163$71K
51144645433$58K
61528201613$17K
71952406050$4K
81790895910$2K

Showing top 8 of 8 providers billing this code