Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5075 of 11K

D2999

HCPCS Procedure Code

HCPCS code D2999 is the #5,075 most-billed Medicaid procedure code, with $301K in payments across 28K claims from 2018–2024. The national median cost per claim is $72.71. Costs vary widely — the 90th percentile is $807.58 per claim, 11.1× the median.

Total Paid

$301K

0.00% of all spending

Total Claims

28K

Providers

46

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for D2999? Based on 13 providers billing this code nationally.

Median

$72.71

Average

$246.53

Std Dev

$364.64

Max

$1,118.18

Percentile Distribution (Cost per Claim)

p10
$15.05
p25
$22.75
Median
$72.71
p75
$176.90
p90
$807.58
p95
$969.51
p99
$1,088.44

50% of providers bill between $22.75 and $176.90 per claim for this code.

90% bill between $15.05 and $807.58.

Top 1% bill above $1,088.44.

About This Procedure

HCPCS code D2999 was billed by 46 providers across 28K claims, totaling $301K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.71

Providers Billing

13

National Spending

$301K

Avg/Median Ratio

3.39×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for D2999

#ProviderTotal Paid
11720177066$146K
2Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$33K
31326519612$29K
4Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$28K
51306921887$20K
61972681484$15K
71255328621$10K
81043662778$9K
91235563396$5K
101811275670$3K
111467748921$3K
121295993269$395
131972982452$312
141154469336$0
151992164966$0
161205341336$0
171053522060$0
181962940874$0
191740822360$0
20Community Health Center Inc

Middletown, CT · Counselor, Addiction (Substance Use Disorder)

$0

Showing top 20 of 46 providers billing this code

Related Procedures