D8697
HCPCS Procedure Code
HCPCS code D8697 is the #6,023 most-billed Medicaid procedure code, with $105K in payments across 4K claims from 2018–2024. The national median cost per claim is $36.97.
Total Paid
$105K
0.00% of all spending
Total Claims
4K
Providers
10
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for D8697? Based on 10 providers billing this code nationally.
Median
$36.97
Average
$37.30
Std Dev
$15.51
Max
$61.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.48 and $47.45 per claim for this code.
90% bill between $18.46 and $54.29.
Top 1% bill above $61.10.
About This Procedure
HCPCS code D8697 was billed by 10 providers across 4K claims, totaling $105K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.97
Providers Billing
10
National Spending
$105K
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D8697
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285981662 | $33K |
| 2 | 1780893909 | $21K |
| 3 | 1598854739 | $14K |
| 4 | 1134282981 | $13K |
| 5 | 1164983227 | $8K |
| 6 | 1174613921 | $7K |
| 7 | 1740538214 | $5K |
| 8 | 1114156320 | $2K |
| 9 | 1316051469 | $1K |
| 10 | 1407146111 | $866 |
Showing top 10 of 10 providers billing this code