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

#5489 of 11K

D9940

HCPCS Procedure Code

HCPCS code D9940 is the #5,489 most-billed Medicaid procedure code, with $188K in payments across 1K claims from 2018–2024. The national median cost per claim is $181.91.

Total Paid

$188K

0.00% of all spending

Total Claims

1K

Providers

26

Avg Cost/Claim

$177

National Cost Distribution

How much do providers bill per claim for D9940? Based on 25 providers billing this code nationally.

Median

$181.91

Average

$188.27

Std Dev

$102.48

Max

$316.46

Percentile Distribution (Cost per Claim)

p10
$61.96
p25
$89.81
Median
$181.91
p75
$287.95
p90
$301.77
p95
$303.90
p99
$313.57

50% of providers bill between $89.81 and $287.95 per claim for this code.

90% bill between $61.96 and $301.77.

Top 1% bill above $313.57.

About This Procedure

HCPCS code D9940 was billed by 26 providers across 1K claims, totaling $188K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$181.91

Providers Billing

25

National Spending

$188K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9940

#ProviderTotal Paid
11194100982$61K
21447486600$33K
31427175843$11K
41265662043$10K
51891998530$9K
61023240975$7K
71295820710$5K
81780808287$5K
91730103334$4K
101386815223$4K
111962675603$4K
121649678376$4K
131083871388$4K
141720592157$4K
151720138464$4K
161316116320$4K
171639445745$4K
181982787537$3K
191164555124$3K
201710240858$2K

Showing top 20 of 26 providers billing this code