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#2072 of 11K

D2991

HCPCS Procedure Code

HCPCS code D2991 is the #2,072 most-billed Medicaid procedure code, with $9.4M in payments across 94K claims from 2018–2024. The national median cost per claim is $56.50. Costs vary widely — the 90th percentile is $122.60 per claim, 2.2× the median.

Total Paid

$9.4M

0.00% of all spending

Total Claims

94K

Providers

34

Avg Cost/Claim

$101

National Cost Distribution

How much do providers bill per claim for D2991? Based on 31 providers billing this code nationally.

Median

$56.50

Average

$72.48

Std Dev

$36.51

Max

$177.26

Percentile Distribution (Cost per Claim)

p10
$34.34
p25
$54.85
Median
$56.50
p75
$107.16
p90
$122.60
p95
$124.86
p99
$162.06

50% of providers bill between $54.85 and $107.16 per claim for this code.

90% bill between $34.34 and $122.60.

Top 1% bill above $162.06.

About This Procedure

HCPCS code D2991 was billed by 34 providers across 94K claims, totaling $9.4M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.50

Providers Billing

31

National Spending

$9.4M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D2991

#ProviderTotal Paid
11871282061$3.8M
21770283475$1.8M
31508594664$1.1M
41366136269$724K
51598523771$622K
61932956919$350K
71821838384$250K
81134359623$176K
91386372597$97K
101013158484$96K
111477005494$63K
121518616614$54K
131710754668$41K
141770315889$36K
151194260604$34K
161932735750$31K
171477998086$29K
181386035707$25K
191831483312$22K
201538765680$21K

Showing top 20 of 34 providers billing this code

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