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#804 of 11K

D1999

HCPCS Procedure Code

HCPCS code D1999 is the #804 most-billed Medicaid procedure code, with $77.4M in payments across 8.6M claims from 2018–2024. The national median cost per claim is $11.95.

Total Paid

$77.4M

0.01% of all spending

Total Claims

8.6M

Providers

8K

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for D1999? Based on 3K providers billing this code nationally.

Median

$11.95

Average

$12.69

Std Dev

$17.46

Max

$260.12

Percentile Distribution (Cost per Claim)

p10
$0.40
p25
$3.54
Median
$11.95
p75
$14.70
p90
$18.32
p95
$40.00
p99
$60.00

50% of providers bill between $3.54 and $14.70 per claim for this code.

90% bill between $0.40 and $18.32.

Top 1% bill above $60.00.

About This Procedure

HCPCS code D1999 was billed by 8K providers across 8.6M claims, totaling $77.4M in Medicaid payments from 2018–2024. This code was used for 7.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.95

Providers Billing

3K

National Spending

$77.4M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1999

#ProviderTotal Paid
11013474535$2.7M
21831328004$979K
31114392107$696K
41265581268$665K
51497933253$623K
61497837553$606K
71255740122$573K
81952774945$543K
91750640108$525K
101851536817$520K
111285160804$514K
121669793246$505K
131609848308$473K
141205295292$448K
151700056124$442K
161437345477$434K
171013219633$429K
181003947284$417K
191548307184$409K
201861501454$391K

Showing top 20 of 8K providers billing this code