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#5933 of 11K

D7286

HCPCS Procedure Code

HCPCS code D7286 is the #5,933 most-billed Medicaid procedure code, with $116K in payments across 498 claims from 2018–2024. The national median cost per claim is $112.50. Costs vary widely — the 90th percentile is $239.13 per claim, 2.1× the median.

Total Paid

$116K

0.00% of all spending

Total Claims

498

Providers

8

Avg Cost/Claim

$234

National Cost Distribution

How much do providers bill per claim for D7286? Based on 8 providers billing this code nationally.

Median

$112.50

Average

$135.21

Std Dev

$102.83

Max

$354.65

Percentile Distribution (Cost per Claim)

p10
$48.66
p25
$86.33
Median
$112.50
p75
$153.42
p90
$239.13
p95
$296.89
p99
$343.10

50% of providers bill between $86.33 and $153.42 per claim for this code.

90% bill between $48.66 and $239.13.

Top 1% bill above $343.10.

About This Procedure

HCPCS code D7286 was billed by 8 providers across 498 claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 471 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$112.50

Providers Billing

8

National Spending

$116K

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7286

#ProviderTotal Paid
11932361672$95K
21114097581$11K
31063532059$2K
41285803197$2K
51871608380$2K
61477632289$2K
71821189432$1K
81164555124$511

Showing top 8 of 8 providers billing this code