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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508932237 | $182K |
| 2 | 1386714228 | $157K |
| 3 | 1295188357 | $12K |
| 4 | 1114093630 | $8K |
| 5 | 1316172281 | $8K |
| 6 | 1497020119 | $7K |
| 7 | 1144203498 | $2K |
| 8 | 1629483813 | $2K |
| 9 | 1740645324 | $0 |
| 10 | 1427379460 | $0 |
| 11 | 1922147537 | $0 |
| 12 | 1164693230 | $0 |
| 13 | 1417953571 | $0 |
| 14 | 1841419603 | $0 |
| 15 | 1962726935 | $0 |
| 16 | 1588844534 | $0 |
| 17 | 1811281488 | $0 |
| 18 | 1114268950 | $0 |
| 19 | 1477810315 | $0 |
| 20 | 1316942840 | $0 |
Showing top 20 of 57 providers billing this code