D9221
HCPCS Procedure Code
HCPCS code D9221 is the #1,593 most-billed Medicaid procedure code, with $18.2M in payments across 92K claims from 2018–2024. The national median cost per claim is $151.01. Costs vary widely — the 90th percentile is $389.15 per claim, 2.6× the median.
Total Paid
$18.2M
0.00% of all spending
Total Claims
92K
Providers
91
Avg Cost/Claim
$198
National Cost Distribution
How much do providers bill per claim for D9221? Based on 88 providers billing this code nationally.
Median
$151.01
Average
$197.42
Std Dev
$146.02
Max
$669.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.86 and $256.21 per claim for this code.
90% bill between $56.20 and $389.15.
Top 1% bill above $651.11.
About This Procedure
HCPCS code D9221 was billed by 91 providers across 92K claims, totaling $18.2M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$151.01
Providers Billing
88
National Spending
$18.2M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D9221
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154533826 | $2.9M |
| 2 | 1588875967 | $1.3M |
| 3 | 1508086299 | $1.2M |
| 4 | 1760633341 | $1.1M |
| 5 | 1225278997 | $902K |
| 6 | 1043502784 | $756K |
| 7 | 1023322468 | $670K |
| 8 | 1144373721 | $585K |
| 9 | 1104088160 | $573K |
| 10 | 1215128988 | $573K |
| 11 | 1609090968 | $563K |
| 12 | 1730233768 | $555K |
| 13 | 1609041813 | $510K |
| 14 | 1831386168 | $469K |
| 15 | 1528197175 | $422K |
| 16 | 1720292949 | $387K |
| 17 | 1528154986 | $386K |
| 18 | 1699906586 | $324K |
| 19 | 1467667618 | $300K |
| 20 | 1659768802 | $296K |
Showing top 20 of 91 providers billing this code