D0999
Unspecified diagnostic procedure, by report
Unspecified diagnostic procedure, by report is the #173 most-billed Medicaid procedure code, with $995.6M in payments across 6.4M claims from 2018–2024. The national median cost per claim is $101.33. Costs vary widely — the 90th percentile is $255.83 per claim, 2.5× the median.
Total Paid
$995.6M
0.09% of all spending
Total Claims
6.4M
Providers
2K
Avg Cost/Claim
$155
National Cost Distribution
How much do providers bill per claim for D0999? Based on 1K providers billing this code nationally.
Median
$101.33
Average
$127.87
Std Dev
$117.63
Max
$877.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.67 and $188.62 per claim for this code.
90% bill between $20.00 and $255.83.
Top 1% bill above $609.94.
About This Procedure
HCPCS code D0999 (Unspecified diagnostic procedure, by report) was billed by 2K providers across 6.4M claims, totaling $995.6M in Medicaid payments from 2018–2024. This code was used for 5.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.33
Providers Billing
1K
National Spending
$995.6M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0999
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164555124 | $30.3M |
| 2 | 1154436855 | $24.2M |
| 3 | 1407849920 | $23.3M |
| 4 | 1538298070 | $18.5M |
| 5 | 1497787535 | $16.5M |
| 6 | 1811919566 | $15.8M |
| 7 | 1669470019 | $15.6M |
| 8 | Marillac Clinic Inc. Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC) | $14.8M |
| 9 | 1417979170 | $9.6M |
| 10 | 1396793030 | $9.0M |
| 11 | 1902993132 | $8.9M |
| 12 | 1326060088 | $8.2M |
| 13 | 1912952367 | $7.9M |
| 14 | 1598898389 | $7.7M |
| 15 | 1982787537 | $7.5M |
| 16 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $7.4M |
| 17 | 1275957029 | $7.2M |
| 18 | 1093702177 | $7.0M |
| 19 | 1720014186 | $6.9M |
| 20 | 1871626267 | $6.9M |
Showing top 20 of 2K providers billing this code