D7961
HCPCS Procedure Code
HCPCS code D7961 is the #3,061 most-billed Medicaid procedure code, with $2.6M in payments across 16K claims from 2018–2024. The national median cost per claim is $142.87. Costs vary widely — the 90th percentile is $292.44 per claim, 2.0× the median.
Total Paid
$2.6M
0.00% of all spending
Total Claims
16K
Providers
79
Avg Cost/Claim
$167
National Cost Distribution
How much do providers bill per claim for D7961? Based on 74 providers billing this code nationally.
Median
$142.87
Average
$163.48
Std Dev
$95.46
Max
$490.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $92.69 and $203.10 per claim for this code.
90% bill between $59.64 and $292.44.
Top 1% bill above $440.55.
About This Procedure
HCPCS code D7961 was billed by 79 providers across 16K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$142.87
Providers Billing
74
National Spending
$2.6M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D7961
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750378931 | $528K |
| 2 | 1346300209 | $248K |
| 3 | 1134584055 | $212K |
| 4 | 1447323894 | $209K |
| 5 | 1902313570 | $115K |
| 6 | 1962765297 | $113K |
| 7 | 1225129067 | $107K |
| 8 | 1942673512 | $74K |
| 9 | 1992368278 | $72K |
| 10 | 1245365907 | $71K |
| 11 | 1538632997 | $58K |
| 12 | 1609194935 | $58K |
| 13 | 1629341540 | $57K |
| 14 | 1154644284 | $54K |
| 15 | 1639602444 | $53K |
| 16 | 1013170133 | $51K |
| 17 | 1154058642 | $45K |
| 18 | 1477093094 | $35K |
| 19 | 1326039025 | $33K |
| 20 | 1407023971 | $28K |
Showing top 20 of 79 providers billing this code