Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6201 of 11K

D9241

HCPCS Procedure Code

HCPCS code D9241 is the #6,201 most-billed Medicaid procedure code, with $84K in payments across 1K claims from 2018–2024. The national median cost per claim is $57.12.

Total Paid

$84K

0.00% of all spending

Total Claims

1K

Providers

11

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for D9241? Based on 11 providers billing this code nationally.

Median

$57.12

Average

$53.26

Std Dev

$8.09

Max

$59.00

Percentile Distribution (Cost per Claim)

p10
$43.27
p25
$52.13
Median
$57.12
p75
$58.67
p90
$58.82
p95
$58.91
p99
$58.98

50% of providers bill between $52.13 and $58.67 per claim for this code.

90% bill between $43.27 and $58.82.

Top 1% bill above $58.98.

About This Procedure

HCPCS code D9241 was billed by 11 providers across 1K claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.12

Providers Billing

11

National Spending

$84K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9241

#ProviderTotal Paid
11508294927$20K
21801881743$19K
31285771378$16K
41518165810$13K
51821168113$9K
61730268657$2K
71740664879$1K
81013391143$1K
91699190710$1K
101740665504$885
111932494457$649

Showing top 11 of 11 providers billing this code