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#356 of 11K

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)

p10
$16.44
p25
$23.27
Median
$37.60
p75
$137.98
p90
$215.63
p95
$399.96
p99
$971.07

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

#ProviderTotal Paid
11982787537$20.9M
21609028190$17.1M
31912952367$16.1M
41558355305$12.4M
51952335630$12.3M
61437600053$9.1M
71639239296$8.4M
81720146319$7.2M
91598759029$7.2M
10Waianae District Comprehensive Health And Hospital Board, Inc

Waianae, HI · Pediatrics

$6.6M
111720539091$6.2M
121336384619$6.0M
131093703639$5.9M
14Wind River Family & Community Healthc Care

Arapahoe, WY · Clinic/Center Public Health Federal

$5.8M
151518920727$5.3M
161255339750$5.0M
171831103654$5.0M
181225083728$4.9M
191124522495$4.9M
201164555124$4.7M

Showing top 20 of 2K providers billing this code