D9220
HCPCS Procedure Code
HCPCS code D9220 is the #1,490 most-billed Medicaid procedure code, with $21.3M in payments across 94K claims from 2018–2024. The national median cost per claim is $215.77.
Total Paid
$21.3M
0.00% of all spending
Total Claims
94K
Providers
104
Avg Cost/Claim
$226
National Cost Distribution
How much do providers bill per claim for D9220? Based on 102 providers billing this code nationally.
Median
$215.77
Average
$249.64
Std Dev
$173.21
Max
$1,172.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $205.07 and $239.37 per claim for this code.
90% bill between $175.75 and $240.00.
Top 1% bill above $1,125.51.
About This Procedure
HCPCS code D9220 was billed by 104 providers across 94K claims, totaling $21.3M in Medicaid payments from 2018–2024. This code was used for 93K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$215.77
Providers Billing
102
National Spending
$21.3M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D9220
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154533826 | $1.5M |
| 2 | 1760633341 | $1.4M |
| 3 | 1588875967 | $1.1M |
| 4 | 1730233768 | $1.1M |
| 5 | Disability Services Of The Southwest, Inc San Antonio, TX · Day Training, Developmentally Disabled Services | $1.1M |
| 6 | 1043502784 | $1.0M |
| 7 | 1508086299 | $958K |
| 8 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $830K |
| 9 | 1225278997 | $668K |
| 10 | 1023322468 | $641K |
| 11 | 1528154986 | $638K |
| 12 | 1215128988 | $623K |
| 13 | 1144373721 | $621K |
| 14 | 1376673152 | $512K |
| 15 | 1609041813 | $486K |
| 16 | 1609090968 | $445K |
| 17 | 1437573151 | $423K |
| 18 | 1588794218 | $411K |
| 19 | 1831386168 | $310K |
| 20 | 1548326572 | $304K |
Showing top 20 of 104 providers billing this code