#754 of 11K

D9310

HCPCS Procedure Code

HCPCS code D9310 is the #754 most-billed Medicaid procedure code, with $87.9M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $46.20.

Total Paid

$87.9M

0.01% of all spending

Total Claims

2.0M

Providers

2,817

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for D9310? Based on 2,643 providers billing this code nationally.

Median

$46.20

Average

$47.31

Std Dev

$39.83

Max

$1,114.31

Percentile Distribution (Cost per Claim)

p10

$15.08

p25

$23.74

Median

$46.20

p75

$60.17

p90

$81.27

p95

$95.01

p99

$177.61

50% of providers bill between $23.74 and $60.17 per claim for this code.

90% bill between $15.08 and $81.27.

Top 1% bill above $177.61.

About This Procedure

HCPCS code D9310 was billed by 2,817 providers across 2.0M claims, totaling $87.9M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.20

Providers Billing

2,643

National Spending

$87.9M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9310

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1487012902	$1.2M	$118.92	2.6× median	Top 10%
2	1770948689	$1.1M	$55.14	1.2× median	Above Median
3	1275998270	$894K	$48.91	1.1× median	Above Median
4	1962753608	$818K	$91.12	2.0× median	Top 10%
5	1528201613	$777K	$42.89	0.9× median	Below Median
6	1053595579	$768K	$60.10	1.3× median	Above Median
7	1265707491	$695K	$80.83	1.7× median	Above 75th
8	1831303569	$682K	$78.03	1.7× median	Above 75th
9	1093062911	$661K	$47.62	1.0× median	Above Median
10	1932361672	$613K	$123.65	2.7× median	Top 10%
11	1326201005	$543K	$123.84	2.7× median	Top 10%
12	1790029569	$537K	$116.72	2.5× median	Top 10%
13	1699252544	$533K	$51.85	1.1× median	Above Median
14	1528237385	$526K	$59.67	1.3× median	Above Median
15	1578596060	$508K	$27.09	0.6× median	Below Median
16	1134584055	$503K	$56.28	1.2× median	Above Median
17	1851450993	$499K	$45.46	1.0× median	Below Median
18	1184605305	$495K	$120.64	2.6× median	Top 10%
19	1043498231	$471K	$62.23	1.3× median	Above 75th
20	1487262820	$466K	$66.84	1.4× median	Above 75th

Showing top 20 of 2,817 providers billing this code

Related Procedures

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