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#3408 of 11K

D9994

HCPCS Procedure Code

HCPCS code D9994 is the #3,408 most-billed Medicaid procedure code, with $1.8M in payments across 299K claims from 2018–2024. The national median cost per claim is $5.84.

Total Paid

$1.8M

0.00% of all spending

Total Claims

299K

Providers

239

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for D9994? Based on 125 providers billing this code nationally.

Median

$5.84

Average

$7.36

Std Dev

$8.92

Max

$85.06

Percentile Distribution (Cost per Claim)

p10
$1.36
p25
$3.69
Median
$5.84
p75
$8.28
p90
$10.15
p95
$21.92
p99
$28.79

50% of providers bill between $3.69 and $8.28 per claim for this code.

90% bill between $1.36 and $10.15.

Top 1% bill above $28.79.

About This Procedure

HCPCS code D9994 was billed by 239 providers across 299K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 292K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.84

Providers Billing

125

National Spending

$1.8M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9994

#ProviderTotal Paid
11023264645$352K
21467771766$149K
31265823272$137K
41548477649$111K
51700165974$67K
61982041240$60K
71033455449$56K
81801029590$46K
91801322722$44K
101174185847$42K
111578878856$37K
121215091541$34K
131285040212$34K
141851565196$32K
151376116293$22K
161487729190$21K
171508460965$19K
181912199332$17K
191972026649$17K
201063960649$16K

Showing top 20 of 239 providers billing this code