D7971
HCPCS Procedure Code
HCPCS code D7971 is the #4,417 most-billed Medicaid procedure code, with $603K in payments across 5,154 claims from 2018–2024. The national median cost per claim is $112.06. Costs vary widely — the 90th percentile is $361.54 per claim, 3.2× the median.
Total Paid
$603K
0.00% of all spending
Total Claims
5,154
Providers
20
Avg Cost/Claim
$117
National Cost Distribution
How much do providers bill per claim for D7971? Based on 20 providers billing this code nationally.
Median
$112.06
Average
$157.12
Std Dev
$126.10
Max
$489.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $66.56 and $183.00 per claim for this code.
90% bill between $56.26 and $361.54.
Top 1% bill above $466.58.
About This Procedure
HCPCS code D7971 was billed by 20 providers across 5,154 claims, totaling $603K in Medicaid payments from 2018–2024. This code was used for 3,271 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$112.06
Providers Billing
20
National Spending
$603K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D7971
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811283518 | $208K |
| 2 | 1134584055 | $46K |
| 3 | 1265671770 | $44K |
| 4 | 1790078418 | $43K |
| 5 | 1881930501 | $41K |
| 6 | 1124308184 | $32K |
| 7 | 1023396058 | $27K |
| 8 | 1699116111 | $27K |
| 9 | 1295242238 | $26K |
| 10 | 1083748016 | $23K |
| 11 | 1316937964 | $22K |
| 12 | 1982096798 | $14K |
| 13 | 1497283022 | $13K |
| 14 | 1669434676 | $9K |
| 15 | 1023350568 | $8K |
| 16 | 1427562388 | $7K |
| 17 | 1023198652 | $6K |
| 18 | 1255477592 | $5K |
| 19 | 1457767931 | $2K |
| 20 | 1831117407 | $1K |
Showing top 20 of 20 providers billing this code