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#6112 of 11K

D7472

HCPCS Procedure Code

HCPCS code D7472 is the #6,112 most-billed Medicaid procedure code, with $94K in payments across 706 claims from 2018–2024. The national median cost per claim is $115.76.

Total Paid

$94K

0.00% of all spending

Total Claims

706

Providers

2

Avg Cost/Claim

$133

National Cost Distribution

How much do providers bill per claim for D7472? Based on 2 providers billing this code nationally.

Median

$115.76

Average

$115.76

Std Dev

$31.17

Max

$137.79

Percentile Distribution (Cost per Claim)

p10
$98.12
p25
$104.74
Median
$115.76
p75
$126.77
p90
$133.39
p95
$135.59
p99
$137.35

50% of providers bill between $104.74 and $126.77 per claim for this code.

90% bill between $98.12 and $133.39.

Top 1% bill above $137.35.

About This Procedure

HCPCS code D7472 was billed by 2 providers across 706 claims, totaling $94K in Medicaid payments from 2018–2024. This code was used for 670 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$115.76

Providers Billing

2

National Spending

$94K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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