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#5726 of 11K

D8691

HCPCS Procedure Code

HCPCS code D8691 is the #5,726 most-billed Medicaid procedure code, with $148K in payments across 5K claims from 2018–2024. The national median cost per claim is $27.69.

Total Paid

$148K

0.00% of all spending

Total Claims

5K

Providers

4

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for D8691? Based on 4 providers billing this code nationally.

Median

$27.69

Average

$27.90

Std Dev

$3.23

Max

$31.94

Percentile Distribution (Cost per Claim)

p10
$25.02
p25
$26.14
Median
$27.69
p75
$29.45
p90
$30.95
p95
$31.45
p99
$31.84

50% of providers bill between $26.14 and $29.45 per claim for this code.

90% bill between $25.02 and $30.95.

Top 1% bill above $31.84.

About This Procedure

HCPCS code D8691 was billed by 4 providers across 5K claims, totaling $148K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.69

Providers Billing

4

National Spending

$148K

Avg/Median Ratio

1.01×

Normal distribution

Provider Coverage

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