D9223
Deep sedation/general anesthesia, each additional 15 min
Deep sedation/general anesthesia, each additional 15 min is the #248 most-billed Medicaid procedure code, with $585.2M in payments across 4.1M claims from 2018–2024. The national median cost per claim is $107.14. Costs vary widely — the 90th percentile is $362.61 per claim, 3.4× the median.
Total Paid
$585.2M
0.05% of all spending
Total Claims
4.1M
Providers
3K
Avg Cost/Claim
$143
National Cost Distribution
How much do providers bill per claim for D9223? Based on 2K providers billing this code nationally.
Median
$107.14
Average
$168.77
Std Dev
$171.61
Max
$2,109.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $69.98 and $208.04 per claim for this code.
90% bill between $42.18 and $362.61.
Top 1% bill above $850.00.
About This Procedure
HCPCS code D9223 (Deep sedation/general anesthesia, each additional 15 min) was billed by 3K providers across 4.1M claims, totaling $585.2M in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$107.14
Providers Billing
2K
National Spending
$585.2M
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for D9223
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1033432562 | $19.0M |
| 2 | 1437568409 | $8.6M |
| 3 | 1144597931 | $7.9M |
| 4 | 1780938274 | $7.6M |
| 5 | 1174948574 | $7.6M |
| 6 | 1760633341 | $7.3M |
| 7 | 1538528682 | $7.2M |
| 8 | 1003321365 | $6.7M |
| 9 | 1508086299 | $6.4M |
| 10 | 1689025256 | $6.1M |
| 11 | 1225597339 | $6.0M |
| 12 | 1154533826 | $5.9M |
| 13 | 1720573587 | $5.9M |
| 14 | 1487262820 | $4.9M |
| 15 | 1588875967 | $4.4M |
| 16 | 1043437866 | $4.4M |
| 17 | 1407330046 | $4.3M |
| 18 | 1659768802 | $4.1M |
| 19 | 1235422106 | $3.7M |
| 20 | 1306258991 | $3.5M |
Showing top 20 of 3K providers billing this code