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#912 of 11K

D9239

HCPCS Procedure Code

HCPCS code D9239 is the #912 most-billed Medicaid procedure code, with $59.7M in payments across 684K claims from 2018–2024. The national median cost per claim is $73.67.

Total Paid

$59.7M

0.01% of all spending

Total Claims

684K

Providers

780

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for D9239? Based on 770 providers billing this code nationally.

Median

$73.67

Average

$84.57

Std Dev

$55.64

Max

$756.07

Percentile Distribution (Cost per Claim)

p10
$42.50
p25
$55.32
Median
$73.67
p75
$104.66
p90
$127.92
p95
$146.65
p99
$345.67

50% of providers bill between $55.32 and $104.66 per claim for this code.

90% bill between $42.50 and $127.92.

Top 1% bill above $345.67.

About This Procedure

HCPCS code D9239 was billed by 780 providers across 684K claims, totaling $59.7M in Medicaid payments from 2018–2024. This code was used for 647K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.67

Providers Billing

770

National Spending

$59.7M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9239

#ProviderTotal Paid
11528201613$5.7M
21962753608$5.2M
31427237551$3.0M
41689779282$1.7M
51790834083$962K
61124478607$950K
71972781375$907K
81265671770$886K
91295186708$873K
101568504538$623K
111922587757$621K
121114093457$585K
131386096394$580K
141336337526$573K
15Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$542K
161255620928$532K
171407809585$509K
181528553070$493K
191245493386$491K
201508170713$471K

Showing top 20 of 780 providers billing this code