#2368 of 11K

C9399

HCPCS Procedure Code

HCPCS code C9399 is the #2,368 most-billed Medicaid procedure code, with $6.3M in payments across 129K claims from 2018–2024. The national median cost per claim is $8.41. Costs vary widely — the 90th percentile is $77.69 per claim, 9.2× the median.

Total Paid

$6.3M

0.00% of all spending

Total Claims

129K

Providers

222

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for C9399? Based on 131 providers billing this code nationally.

Median

$8.41

Average

$79.56

Std Dev

$309.94

Max

$2,217.17

Percentile Distribution (Cost per Claim)

p10

$0.26

p25

$1.52

Median

$8.41

p75

$43.20

p90

$77.69

p95

$119.77

p99

$1,906.74

50% of providers bill between $1.52 and $43.20 per claim for this code.

90% bill between $0.26 and $77.69.

Top 1% bill above $1,906.74.

About This Procedure

HCPCS code C9399 was billed by 222 providers across 129K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 103K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.41

Providers Billing

131

National Spending

$6.3M

Avg/Median Ratio

9.46×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C9399

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$1.8M	$262.04	31.2× median	Top 10%
2	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$845K	$2,217.17	263.6× median	Top 1%
3	1386779460	$673K	$2,051.14	243.9× median	Top 1%
4	Variety Children's Hospital Miami, FL · General Acute Care Hospital Children	$591K	$98.63	11.7× median	Top 10%
5	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$497K	$64.15	7.6× median	Above 75th
6	Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children	$340K	$53.82	6.4× median	Above 75th
7	University Of Utah Salt Lake City, UT · Clinic/Center, Dental	$300K	$43.57	5.2× median	Above 75th
8	Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital	$128K	$67.96	8.1× median	Above 75th
9	Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital	$128K	$75.87	9.0× median	Above 75th
10	1699884858	$116K	$119.88	14.3× median	Top 10%
11	Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital	$110K	$60.59	7.2× median	Above 75th
12	1366459570	$75K	$42.01	5.0× median	Above Median
13	Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty	$59K	$84.57	10.1× median	Top 10%
14	1952546616	$55K	$493.53	58.7× median	Top 10%
15	1407877137	$49K	$61.24	7.3× median	Above 75th
16	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$38K	$119.65	14.2× median	Top 10%
17	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$37K	$37.89	4.5× median	Above Median
18	University Of Washington Seattle, WA · Clinic/Center, Dental	$37K	$13.70	1.6× median	Above Median
19	1952307852	$36K	$47.12	5.6× median	Above 75th
20	1831193499	$33K	$3.74	0.4× median	Below Median

Showing top 20 of 222 providers billing this code

← All procedures Top providers →