D9999
Unspecified adjunctive procedure, by report
Unspecified adjunctive procedure, by report is the #356 most-billed Medicaid procedure code, with $350.8M in payments across 2.9M claims from 2018–2024. The national median cost per claim is $37.60. Costs vary widely — the 90th percentile is $215.63 per claim, 5.7× the median.
Total Paid
$350.8M
0.03% of all spending
Total Claims
2.9M
Providers
2K
Avg Cost/Claim
$119
National Cost Distribution
How much do providers bill per claim for D9999? Based on 2K providers billing this code nationally.
Median
$37.60
Average
$114.43
Std Dev
$197.43
Max
$2,459.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.27 and $137.98 per claim for this code.
90% bill between $16.44 and $215.63.
Top 1% bill above $971.07.
About This Procedure
HCPCS code D9999 (Unspecified adjunctive procedure, by report) was billed by 2K providers across 2.9M claims, totaling $350.8M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.60
Providers Billing
2K
National Spending
$350.8M
Avg/Median Ratio
3.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for D9999
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982787537 | $20.9M |
| 2 | 1609028190 | $17.1M |
| 3 | 1912952367 | $16.1M |
| 4 | 1558355305 | $12.4M |
| 5 | 1952335630 | $12.3M |
| 6 | 1437600053 | $9.1M |
| 7 | 1639239296 | $8.4M |
| 8 | 1720146319 | $7.2M |
| 9 | 1598759029 | $7.2M |
| 10 | Waianae District Comprehensive Health And Hospital Board, Inc Waianae, HI · Pediatrics | $6.6M |
| 11 | 1720539091 | $6.2M |
| 12 | 1336384619 | $6.0M |
| 13 | 1093703639 | $5.9M |
| 14 | Wind River Family & Community Healthc Care Arapahoe, WY · Clinic/Center Public Health Federal | $5.8M |
| 15 | 1518920727 | $5.3M |
| 16 | 1255339750 | $5.0M |
| 17 | 1831103654 | $5.0M |
| 18 | 1225083728 | $4.9M |
| 19 | 1124522495 | $4.9M |
| 20 | 1164555124 | $4.7M |
Showing top 20 of 2K providers billing this code