Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3105 of 11K

D7280

HCPCS Procedure Code

HCPCS code D7280 is the #3,105 most-billed Medicaid procedure code, with $2.5M in payments across 13K claims from 2018–2024. The national median cost per claim is $175.60. Costs vary widely — the 90th percentile is $379.62 per claim, 2.2× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

13K

Providers

56

Avg Cost/Claim

$197

National Cost Distribution

How much do providers bill per claim for D7280? Based on 56 providers billing this code nationally.

Median

$175.60

Average

$199.66

Std Dev

$97.32

Max

$459.92

Percentile Distribution (Cost per Claim)

p10
$117.45
p25
$139.18
Median
$175.60
p75
$221.40
p90
$379.62
p95
$412.22
p99
$454.46

50% of providers bill between $139.18 and $221.40 per claim for this code.

90% bill between $117.45 and $379.62.

Top 1% bill above $454.46.

About This Procedure

HCPCS code D7280 was billed by 56 providers across 13K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 6,183 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$175.60

Providers Billing

56

National Spending

$2.5M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7280

#ProviderTotal Paid
11699116111$945K
21427237551$342K
31649543554$208K
41497189419$109K
51760550552$107K
61295752194$78K
71508997883$65K
81760465124$63K
91073059283$49K
101801039144$45K
111144772906$43K
121407809585$38K
131437100856$37K
141326215005$30K
151962753608$27K
161770746372$26K
171417186867$23K
181972733566$19K
191013179530$19K
201346403854$15K

Showing top 20 of 56 providers billing this code