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#4011 of 11K

D7451

HCPCS Procedure Code

HCPCS code D7451 is the #4,011 most-billed Medicaid procedure code, with $934K in payments across 3,617 claims from 2018–2024. The national median cost per claim is $220.60.

Total Paid

$934K

0.00% of all spending

Total Claims

3,617

Providers

11

Avg Cost/Claim

$258

National Cost Distribution

How much do providers bill per claim for D7451? Based on 11 providers billing this code nationally.

Median

$220.60

Average

$233.08

Std Dev

$85.80

Max

$422.09

Percentile Distribution (Cost per Claim)

p10
$160.59
p25
$173.77
Median
$220.60
p75
$252.59
p90
$347.08
p95
$384.58
p99
$414.59

50% of providers bill between $173.77 and $252.59 per claim for this code.

90% bill between $160.59 and $347.08.

Top 1% bill above $414.59.

About This Procedure

HCPCS code D7451 was billed by 11 providers across 3,617 claims, totaling $934K in Medicaid payments from 2018–2024. This code was used for 3,333 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$220.60

Providers Billing

11

National Spending

$934K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7451

#ProviderTotal Paid
11336214592$390K
21295752194$321K
31720212590$123K
41255710810$37K
51366809386$16K
61538339072$14K
71598745531$9K
81700151933$8K
91437240728$8K
101699210922$5K
111588695316$3K

Showing top 11 of 11 providers billing this code

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