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#3061 of 11K

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)

p10
$59.64
p25
$92.69
Median
$142.87
p75
$203.10
p90
$292.44
p95
$346.84
p99
$440.55

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

#ProviderTotal Paid
11750378931$528K
21346300209$248K
31134584055$212K
41447323894$209K
51902313570$115K
61962765297$113K
71225129067$107K
81942673512$74K
91992368278$72K
101245365907$71K
111538632997$58K
121609194935$58K
131629341540$57K
141154644284$54K
151639602444$53K
161013170133$51K
171154058642$45K
181477093094$35K
191326039025$33K
201407023971$28K

Showing top 20 of 79 providers billing this code