D7485
HCPCS Procedure Code
HCPCS code D7485 is the #5,675 most-billed Medicaid procedure code, with $156K in payments across 1,036 claims from 2018–2024. The national median cost per claim is $138.73. Costs vary widely — the 90th percentile is $284.71 per claim, 2.1× the median.
Total Paid
$156K
0.00% of all spending
Total Claims
1,036
Providers
6
Avg Cost/Claim
$151
National Cost Distribution
How much do providers bill per claim for D7485? Based on 6 providers billing this code nationally.
Median
$138.73
Average
$171.84
Std Dev
$90.85
Max
$291.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $114.00 and $246.00 per claim for this code.
90% bill between $92.07 and $284.71.
Top 1% bill above $290.41.
About This Procedure
HCPCS code D7485 was billed by 6 providers across 1,036 claims, totaling $156K in Medicaid payments from 2018–2024. This code was used for 665 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$138.73
Providers Billing
6
National Spending
$156K
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D7485
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396023164 | $64K |
| 2 | 1699116111 | $41K |
| 3 | 1639525181 | $23K |
| 4 | 1740349448 | $17K |
| 5 | 1376764233 | $8K |
| 6 | 1356699094 | $3K |
Showing top 6 of 6 providers billing this code