D5899
HCPCS Procedure Code
HCPCS code D5899 is the #2,768 most-billed Medicaid procedure code, with $3.8M in payments across 101K claims from 2018–2024. The national median cost per claim is $30.31. Costs vary widely — the 90th percentile is $235.82 per claim, 7.8× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
101K
Providers
163
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for D5899? Based on 55 providers billing this code nationally.
Median
$30.31
Average
$98.68
Std Dev
$113.03
Max
$422.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.77 and $161.48 per claim for this code.
90% bill between $3.32 and $235.82.
Top 1% bill above $413.47.
About This Procedure
HCPCS code D5899 was billed by 163 providers across 101K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.31
Providers Billing
55
National Spending
$3.8M
Avg/Median Ratio
3.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for D5899
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205113560 | $915K |
| 2 | 1699708297 | $887K |
| 3 | 1114019858 | $197K |
| 4 | 1891740908 | $197K |
| 5 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $189K |
| 6 | 1760013700 | $188K |
| 7 | 1972982007 | $146K |
| 8 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $123K |
| 9 | 1699748533 | $103K |
| 10 | Lasante Health Center Inc Brooklyn, NY · Clinic/Center, Community Health | $99K |
| 11 | 1184851115 | $95K |
| 12 | 1760457865 | $94K |
| 13 | 1083079081 | $86K |
| 14 | 1912058058 | $81K |
| 15 | 1932295888 | $76K |
| 16 | 1407146111 | $44K |
| 17 | 1992822290 | $35K |
| 18 | 1619213741 | $34K |
| 19 | 1972681484 | $29K |
| 20 | 1114446283 | $18K |
Showing top 20 of 163 providers billing this code