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#2886 of 11K

D9219

HCPCS Procedure Code

HCPCS code D9219 is the #2,886 most-billed Medicaid procedure code, with $3.1M in payments across 100K claims from 2018–2024. The national median cost per claim is $39.96.

Total Paid

$3.1M

0.00% of all spending

Total Claims

100K

Providers

143

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for D9219? Based on 99 providers billing this code nationally.

Median

$39.96

Average

$34.26

Std Dev

$14.93

Max

$100.00

Percentile Distribution (Cost per Claim)

p10
$12.46
p25
$23.26
Median
$39.96
p75
$41.32
p90
$42.97
p95
$43.43
p99
$67.95

50% of providers bill between $23.26 and $41.32 per claim for this code.

90% bill between $12.46 and $42.97.

Top 1% bill above $67.95.

About This Procedure

HCPCS code D9219 was billed by 143 providers across 100K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 94K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.96

Providers Billing

99

National Spending

$3.1M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9219

#ProviderTotal Paid
11780938274$847K
21407330046$340K
31942868690$209K
41265101356$190K
51861541518$175K
61275251381$107K
71508376906$102K
81295071231$96K
91124533328$85K
101679905665$76K
111922642743$75K
121649785197$61K
131679150064$60K
141114166857$50K
151508316902$39K
161568850725$39K
171922247758$36K
181497265516$33K
191104162452$29K
201154047918$27K

Showing top 20 of 143 providers billing this code