Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8466 of 11K

D7921

HCPCS Procedure Code

HCPCS code D7921 is the #8,466 most-billed Medicaid procedure code, with $3K in payments across 6,646 claims from 2018–2024. The national median cost per claim is $5.55. Costs vary widely — the 90th percentile is $97.71 per claim, 17.6× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

6,646

Providers

19

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for D7921? Based on 4 providers billing this code nationally.

Median

$5.55

Average

$36.53

Std Dev

$65.83

Max

$135.00

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$0.29
Median
$5.55
p75
$41.79
p90
$97.71
p95
$116.36
p99
$131.27

50% of providers bill between $0.29 and $41.79 per claim for this code.

90% bill between $0.14 and $97.71.

Top 1% bill above $131.27.

About This Procedure

HCPCS code D7921 was billed by 19 providers across 6,646 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 5,114 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.55

Providers Billing

4

National Spending

$3K

Avg/Median Ratio

6.58×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for D7921

#ProviderTotal Paid
11457578239$2K
21881887065$375
31902551351$165
41568758746$59
51841991262$0
61518417336$0
71336379528$0
81659616993$0
91629428941$0
101316497134$0
111053867317$0
121144332701$0
131083289128$0
141235260688$0
151740557198$0
161104238716$0
171063457919$0
181659308641$0
191306214200$0

Showing top 19 of 19 providers billing this code

Related Procedures