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#6651 of 11K

D7963

HCPCS Procedure Code

HCPCS code D7963 is the #6,651 most-billed Medicaid procedure code, with $50K in payments across 218 claims from 2018–2024. The national median cost per claim is $173.51. Costs vary widely — the 90th percentile is $389.86 per claim, 2.2× the median.

Total Paid

$50K

0.00% of all spending

Total Claims

218

Providers

4

Avg Cost/Claim

$229

National Cost Distribution

How much do providers bill per claim for D7963? Based on 4 providers billing this code nationally.

Median

$173.51

Average

$216.56

Std Dev

$175.71

Max

$457.67

Percentile Distribution (Cost per Claim)

p10
$77.71
p25
$101.93
Median
$173.51
p75
$288.15
p90
$389.86
p95
$423.77
p99
$450.89

50% of providers bill between $101.93 and $288.15 per claim for this code.

90% bill between $77.71 and $389.86.

Top 1% bill above $450.89.

About This Procedure

HCPCS code D7963 was billed by 4 providers across 218 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 154 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$173.51

Providers Billing

4

National Spending

$50K

Avg/Median Ratio

1.25×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.