#3323 of 11K

D8220

HCPCS Procedure Code

HCPCS code D8220 is the #3,323 most-billed Medicaid procedure code, with $1.9M in payments across 5,323 claims from 2018–2024. The national median cost per claim is $410.70.

Total Paid

$1.9M

0.00% of all spending

Total Claims

5,323

Providers

Avg Cost/Claim

$364

National Cost Distribution

How much do providers bill per claim for D8220? Based on 26 providers billing this code nationally.

Median

$410.70

Average

$376.85

Std Dev

$113.41

Max

$677.00

Percentile Distribution (Cost per Claim)

p10

$242.01

p25

$291.28

Median

$410.70

p75

$449.70

p90

$457.01

p95

$473.30

p99

$627.42

50% of providers bill between $291.28 and $449.70 per claim for this code.

90% bill between $242.01 and $457.01.

Top 1% bill above $627.42.

About This Procedure

HCPCS code D8220 was billed by 26 providers across 5,323 claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 4,877 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$410.70

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1902974173	$314K	$340.21	0.8× median	Below Median
2	1811439912	$299K	$456.88	1.1× median	Above 75th
3	1851325062	$275K	$288.38	0.7× median	Below Median
4	1780893909	$172K	$342.63	0.8× median	Below Median
5	1154656270	$164K	$453.05	1.1× median	Above 75th
6	1114156320	$121K	$381.65	0.9× median	Below Median
7	1750559985	$103K	$436.39	1.1× median	Above Median
8	1255508651	$86K	$259.23	0.6× median	Below Median
9	1851693469	$84K	$450.25	1.1× median	Above 75th
10	1124093752	$77K	$318.50	0.8× median	Below Median
11	1700275062	$50K	$447.42	1.1× median	Above Median
12	1801136585	$46K	$440.24	1.1× median	Above Median
13	1972744548	$26K	$448.07	1.1× median	Above Median
14	1053637769	$26K	$453.88	1.1× median	Above 75th
15	1841210010	$20K	$385.00	0.9× median	Below Median
16	1275767303	$14K	$441.66	1.1× median	Above Median
17	1528412426	$9K	$677.00	1.6× median	Top 1%
18	1497930168	$8K	$234.01	0.6× median	Below Median
19	1497312771	$7K	$478.69	1.2× median	Top 10%
20	1093874273	$6K	$300.00	0.7× median	Below Median

Showing top 20 of 26 providers billing this code

Related Procedures

D8210$542K

← All procedures Top providers →