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#1593 of 11K

D9221

HCPCS Procedure Code

HCPCS code D9221 is the #1,593 most-billed Medicaid procedure code, with $18.2M in payments across 92K claims from 2018–2024. The national median cost per claim is $151.01. Costs vary widely — the 90th percentile is $389.15 per claim, 2.6× the median.

Total Paid

$18.2M

0.00% of all spending

Total Claims

92K

Providers

91

Avg Cost/Claim

$198

National Cost Distribution

How much do providers bill per claim for D9221? Based on 88 providers billing this code nationally.

Median

$151.01

Average

$197.42

Std Dev

$146.02

Max

$669.87

Percentile Distribution (Cost per Claim)

p10
$56.20
p25
$99.86
Median
$151.01
p75
$256.21
p90
$389.15
p95
$495.67
p99
$651.11

50% of providers bill between $99.86 and $256.21 per claim for this code.

90% bill between $56.20 and $389.15.

Top 1% bill above $651.11.

About This Procedure

HCPCS code D9221 was billed by 91 providers across 92K claims, totaling $18.2M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$151.01

Providers Billing

88

National Spending

$18.2M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9221

#ProviderTotal Paid
11154533826$2.9M
21588875967$1.3M
31508086299$1.2M
41760633341$1.1M
51225278997$902K
61043502784$756K
71023322468$670K
81144373721$585K
91104088160$573K
101215128988$573K
111609090968$563K
121730233768$555K
131609041813$510K
141831386168$469K
151528197175$422K
161720292949$387K
171528154986$386K
181699906586$324K
191467667618$300K
201659768802$296K

Showing top 20 of 91 providers billing this code