#1641 of 11K

D7999

HCPCS Procedure Code

HCPCS code D7999 is the #1,641 most-billed Medicaid procedure code, with $17.1M in payments across 223K claims from 2018–2024. The national median cost per claim is $981.06. Costs vary widely — the 90th percentile is $3,946.65 per claim, 4.0× the median.

Total Paid

$17.1M

0.00% of all spending

Total Claims

223K

Providers

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for D7999? Based on 24 providers billing this code nationally.

Median

$981.06

Average

$1,566.73

Std Dev

$1,669.87

Max

$4,776.39

Percentile Distribution (Cost per Claim)

p10

$23.80

p25

$26.34

Median

$981.06

p75

$2,964.23

p90

$3,946.65

p95

$4,306.65

p99

$4,680.34

50% of providers bill between $26.34 and $2,964.23 per claim for this code.

90% bill between $23.80 and $3,946.65.

Top 1% bill above $4,680.34.

About This Procedure

HCPCS code D7999 was billed by 27 providers across 223K claims, totaling $17.1M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$981.06

Providers Billing

National Spending

$17.1M

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for D7999

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811006661	$3.1M	$2,484.34	2.5× median	Above Median
2	1972877017	$2.9M	$26.39	0.0× median	Below Median
3	1174597892	$2.0M	$3,795.61	3.9× median	Above 75th
4	1093740128	$1.4M	$1,866.46	1.9× median	Above Median
5	1548546138	$1.3M	$3,028.86	3.1× median	Above 75th
6	1518065523	$1.3M	$4,011.38	4.1× median	Top 10%
7	1700831724	$1.1M	$2,942.69	3.0× median	Above Median
8	1194073056	$1.0M	$27.75	0.0× median	Below Median
9	1053685289	$838K	$26.21	0.0× median	Below Median
10	1437259694	$529K	$1,214.12	1.2× median	Above Median
11	1699048751	$500K	$25.68	0.0× median	Below Median
12	1477827624	$434K	$24.88	0.0× median	Below Median
13	1376686600	$244K	$4,358.76	4.4× median	Top 10%
14	1104899442	$119K	$4,776.39	4.9× median	Top 1%
15	1427098169	$89K	$134.24	0.1× median	Below Median
16	1730287673	$53K	$88.99	0.1× median	Below Median
17	1891766051	$39K	$3,244.47	3.3× median	Above 75th
18	1578504056	$35K	$2,898.23	3.0× median	Above Median
19	1629105770	$20K	$748.00	0.8× median	Below Median
20	Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital	$17K	$1,453.43	1.5× median	Above Median

Showing top 20 of 27 providers billing this code

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