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#633 of 11K

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)

p10
$23.69
p25
$37.66
Median
$81.82
p75
$122.00
p90
$239.58
p95
$310.86
p99
$1,136.68

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

#ProviderTotal Paid
11134499684$9.1M
21972855773$5.8M
31265966444$4.9M
4Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$4.8M
51023088473$3.8M
61013962893$3.4M
71972147239$2.4M
81982709572$1.8M
91356444814$1.8M
101588875967$1.7M
111619284536$1.6M
121205935012$1.6M
131215421540$1.6M
141972854149$1.4M
151609090968$1.3M
161508086299$1.3M
171942752282$1.3M
181639270846$1.2M
191194867499$1.2M
201770620742$984K

Showing top 20 of 1K providers billing this code

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