D7970
HCPCS Procedure Code
HCPCS code D7970 is the #3,335 most-billed Medicaid procedure code, with $1.9M in payments across 9,272 claims from 2018–2024. The national median cost per claim is $173.14.
Total Paid
$1.9M
0.00% of all spending
Total Claims
9,272
Providers
12
Avg Cost/Claim
$205
National Cost Distribution
How much do providers bill per claim for D7970? Based on 12 providers billing this code nationally.
Median
$173.14
Average
$189.12
Std Dev
$117.45
Max
$429.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $106.37 and $254.65 per claim for this code.
90% bill between $98.49 and $295.97.
Top 1% bill above $414.61.
About This Procedure
HCPCS code D7970 was billed by 12 providers across 9,272 claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 7,527 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$173.14
Providers Billing
12
National Spending
$1.9M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D7970
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134584055 | $839K |
| 2 | 1760550552 | $337K |
| 3 | 1891944476 | $259K |
| 4 | 1568920239 | $162K |
| 5 | 1659587772 | $102K |
| 6 | 1558445023 | $75K |
| 7 | 1548369291 | $72K |
| 8 | 1235478686 | $39K |
| 9 | 1912461526 | $11K |
| 10 | 1588844534 | $4K |
| 11 | 1033492178 | $2K |
| 12 | 1215275888 | $738 |
Showing top 12 of 12 providers billing this code