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#5972 of 11K

D7285

HCPCS Procedure Code

HCPCS code D7285 is the #5,972 most-billed Medicaid procedure code, with $112K in payments across 901 claims from 2018–2024. The national median cost per claim is $79.23. Costs vary widely — the 90th percentile is $297.37 per claim, 3.8× the median.

Total Paid

$112K

0.00% of all spending

Total Claims

901

Providers

5

Avg Cost/Claim

$124

National Cost Distribution

How much do providers bill per claim for D7285? Based on 5 providers billing this code nationally.

Median

$79.23

Average

$153.92

Std Dev

$140.11

Max

$398.40

Percentile Distribution (Cost per Claim)

p10
$72.18
p25
$77.55
Median
$79.23
p75
$145.82
p90
$297.37
p95
$347.88
p99
$388.30

50% of providers bill between $77.55 and $145.82 per claim for this code.

90% bill between $72.18 and $297.37.

Top 1% bill above $388.30.

About This Procedure

HCPCS code D7285 was billed by 5 providers across 901 claims, totaling $112K in Medicaid payments from 2018–2024. This code was used for 648 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.23

Providers Billing

5

National Spending

$112K

Avg/Median Ratio

1.94×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for D7285

#ProviderTotal Paid
11104927524$75K
21073059283$15K
31740404508$11K
41003015926$7K
51114187762$4K

Showing top 5 of 5 providers billing this code