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#4843 of 11K

D4999

HCPCS Procedure Code

HCPCS code D4999 is the #4,843 most-billed Medicaid procedure code, with $379K in payments across 19K claims from 2018–2024. The national median cost per claim is $103.91.

Total Paid

$379K

0.00% of all spending

Total Claims

19K

Providers

57

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for D4999? Based on 8 providers billing this code nationally.

Median

$103.91

Average

$92.89

Std Dev

$57.59

Max

$161.07

Percentile Distribution (Cost per Claim)

p10
$14.18
p25
$54.29
Median
$103.91
p75
$140.50
p90
$147.49
p95
$154.28
p99
$159.71

50% of providers bill between $54.29 and $140.50 per claim for this code.

90% bill between $14.18 and $147.49.

Top 1% bill above $159.71.

About This Procedure

HCPCS code D4999 was billed by 57 providers across 19K claims, totaling $379K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$103.91

Providers Billing

8

National Spending

$379K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4999

#ProviderTotal Paid
11508932237$182K
21386714228$157K
31295188357$12K
41114093630$8K
51316172281$8K
61497020119$7K
71144203498$2K
81629483813$2K
91740645324$0
101427379460$0
111922147537$0
121164693230$0
131417953571$0
141841419603$0
151962726935$0
161588844534$0
171811281488$0
181114268950$0
191477810315$0
201316942840$0

Showing top 20 of 57 providers billing this code

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