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#735 of 11K

D8680

HCPCS Procedure Code

HCPCS code D8680 is the #735 most-billed Medicaid procedure code, with $92.8M in payments across 331K claims from 2018–2024. The national median cost per claim is $174.00. Costs vary widely — the 90th percentile is $718.97 per claim, 4.1× the median.

Total Paid

$92.8M

0.01% of all spending

Total Claims

331K

Providers

720

Avg Cost/Claim

$280

National Cost Distribution

How much do providers bill per claim for D8680? Based on 707 providers billing this code nationally.

Median

$174.00

Average

$287.94

Std Dev

$277.77

Max

$1,700.00

Percentile Distribution (Cost per Claim)

p10
$85.63
p25
$129.43
Median
$174.00
p75
$332.98
p90
$718.97
p95
$949.18
p99
$1,237.39

50% of providers bill between $129.43 and $332.98 per claim for this code.

90% bill between $85.63 and $718.97.

Top 1% bill above $1,237.39.

About This Procedure

HCPCS code D8680 was billed by 720 providers across 331K claims, totaling $92.8M in Medicaid payments from 2018–2024. This code was used for 261K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$174.00

Providers Billing

707

National Spending

$92.8M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for D8680

#ProviderTotal Paid
11184928574$2.8M
21457566739$2.6M
31508182312$2.4M
41962785923$2.3M
51780675884$2.3M
61669993812$2.3M
71952606436$1.9M
81356468938$1.8M
91780893909$1.6M
101447317854$1.6M
111609206580$1.5M
121568618304$1.5M
131588810410$1.5M
141134282981$1.5M
151477632289$1.5M
161730646241$1.4M
171780925081$1.4M
181366560443$1.2M
191902974173$1.2M
201336214592$1.1M

Showing top 20 of 720 providers billing this code