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#828 of 11K

D9920

HCPCS Procedure Code

HCPCS code D9920 is the #828 most-billed Medicaid procedure code, with $71.0M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $44.88. Costs vary widely — the 90th percentile is $121.63 per claim, 2.7× the median.

Total Paid

$71.0M

0.01% of all spending

Total Claims

1.4M

Providers

2K

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for D9920? Based on 2K providers billing this code nationally.

Median

$44.88

Average

$54.89

Std Dev

$47.56

Max

$607.75

Percentile Distribution (Cost per Claim)

p10
$12.48
p25
$22.03
Median
$44.88
p75
$69.08
p90
$121.63
p95
$133.36
p99
$191.62

50% of providers bill between $22.03 and $69.08 per claim for this code.

90% bill between $12.48 and $121.63.

Top 1% bill above $191.62.

About This Procedure

HCPCS code D9920 was billed by 2K providers across 1.4M claims, totaling $71.0M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.88

Providers Billing

2K

National Spending

$71.0M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9920

#ProviderTotal Paid
11114454287$4.4M
21124093752$4.1M
31336384619$2.1M
41295959849$1.2M
51104040757$992K
61679797211$986K
71427491315$971K
81710100672$931K
91518138320$832K
101942518154$719K
111124171632$701K
121366587073$697K
131669682498$682K
14Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$671K
151144514027$632K
161740405356$617K
171528319993$599K
181457512188$585K
191841484763$558K
201396134185$550K

Showing top 20 of 2K providers billing this code