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#667 of 11K

D9430

HCPCS Procedure Code

HCPCS code D9430 is the #667 most-billed Medicaid procedure code, with $110.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $31.69.

Total Paid

$110.0M

0.01% of all spending

Total Claims

3.4M

Providers

4K

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for D9430? Based on 4K providers billing this code nationally.

Median

$31.69

Average

$30.65

Std Dev

$18.04

Max

$836.45

Percentile Distribution (Cost per Claim)

p10
$26.46
p25
$30.94
Median
$31.69
p75
$32.00
p90
$32.00
p95
$32.00
p99
$43.92

50% of providers bill between $30.94 and $32.00 per claim for this code.

90% bill between $26.46 and $32.00.

Top 1% bill above $43.92.

About This Procedure

HCPCS code D9430 was billed by 4K providers across 3.4M claims, totaling $110.0M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.69

Providers Billing

4K

National Spending

$110.0M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9430

#ProviderTotal Paid
11205844719$4.2M
21063439065$3.3M
31316201809$2.0M
41447445135$1.8M
51760869796$1.3M
61366492597$1.1M
71619275039$1.1M
81063600898$856K
91912430778$796K
101841638624$709K
111689101750$558K
121306988118$477K
131821168113$469K
141467989426$443K
151982709572$441K
161740526771$438K
171407367824$395K
181760780910$386K
191497876866$368K
201821324807$349K

Showing top 20 of 4K providers billing this code