D9215
HCPCS Procedure Code
HCPCS code D9215 is the #5,166 most-billed Medicaid procedure code, with $271K in payments across 116K claims from 2018–2024. The national median cost per claim is $1.89. Costs vary widely — the 90th percentile is $28.69 per claim, 15.2× the median.
Total Paid
$271K
0.00% of all spending
Total Claims
116K
Providers
177
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for D9215? Based on 43 providers billing this code nationally.
Median
$1.89
Average
$9.68
Std Dev
$23.88
Max
$131.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.17 and $5.09 per claim for this code.
90% bill between $0.08 and $28.69.
Top 1% bill above $101.00.
About This Procedure
HCPCS code D9215 was billed by 177 providers across 116K claims, totaling $271K in Medicaid payments from 2018–2024. This code was used for 98K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.89
Providers Billing
43
National Spending
$271K
Avg/Median Ratio
5.12×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for D9215
| # | Provider | Total Paid |
|---|---|---|
| 1 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $163K |
| 2 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $33K |
| 3 | 1437215134 | $20K |
| 4 | 1679648919 | $15K |
| 5 | 1679139257 | $10K |
| 6 | 1508887993 | $10K |
| 7 | 1073787594 | $5K |
| 8 | 1134662679 | $3K |
| 9 | 1003159369 | $2K |
| 10 | 1659447688 | $2K |
| 11 | 1578755948 | $1K |
| 12 | 1104055037 | $1K |
| 13 | 1992860415 | $1K |
| 14 | 1144576737 | $589 |
| 15 | 1790231231 | $566 |
| 16 | 1104927383 | $474 |
| 17 | 1669517629 | $363 |
| 18 | 1457524175 | $308 |
| 19 | 1376835918 | $283 |
| 20 | 1508942749 | $281 |
Showing top 20 of 177 providers billing this code