D9420
HCPCS Procedure Code
HCPCS code D9420 is the #633 most-billed Medicaid procedure code, with $119.3M in payments across 939K claims from 2018–2024. The national median cost per claim is $81.82. Costs vary widely — the 90th percentile is $239.58 per claim, 2.9× the median.
Total Paid
$119.3M
0.01% of all spending
Total Claims
939K
Providers
1K
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for D9420? Based on 1K providers billing this code nationally.
Median
$81.82
Average
$121.44
Std Dev
$192.08
Max
$2,579.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.66 and $122.00 per claim for this code.
90% bill between $23.69 and $239.58.
Top 1% bill above $1,136.68.
About This Procedure
HCPCS code D9420 was billed by 1K providers across 939K claims, totaling $119.3M in Medicaid payments from 2018–2024. This code was used for 849K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.82
Providers Billing
1K
National Spending
$119.3M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D9420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134499684 | $9.1M |
| 2 | 1972855773 | $5.8M |
| 3 | 1265966444 | $4.9M |
| 4 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $4.8M |
| 5 | 1023088473 | $3.8M |
| 6 | 1013962893 | $3.4M |
| 7 | 1972147239 | $2.4M |
| 8 | 1982709572 | $1.8M |
| 9 | 1356444814 | $1.8M |
| 10 | 1588875967 | $1.7M |
| 11 | 1619284536 | $1.6M |
| 12 | 1205935012 | $1.6M |
| 13 | 1215421540 | $1.6M |
| 14 | 1972854149 | $1.4M |
| 15 | 1609090968 | $1.3M |
| 16 | 1508086299 | $1.3M |
| 17 | 1942752282 | $1.3M |
| 18 | 1639270846 | $1.2M |
| 19 | 1194867499 | $1.2M |
| 20 | 1770620742 | $984K |
Showing top 20 of 1K providers billing this code