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#5788 of 11K

D9242

HCPCS Procedure Code

HCPCS code D9242 is the #5,788 most-billed Medicaid procedure code, with $138K in payments across 2K claims from 2018–2024. The national median cost per claim is $32.61.

Total Paid

$138K

0.00% of all spending

Total Claims

2K

Providers

11

Avg Cost/Claim

$60

National Cost Distribution

How much do providers bill per claim for D9242? Based on 11 providers billing this code nationally.

Median

$32.61

Average

$42.31

Std Dev

$40.04

Max

$157.01

Percentile Distribution (Cost per Claim)

p10
$13.77
p25
$24.96
Median
$32.61
p75
$40.85
p90
$55.67
p95
$106.34
p99
$146.87

50% of providers bill between $24.96 and $40.85 per claim for this code.

90% bill between $13.77 and $55.67.

Top 1% bill above $146.87.

About This Procedure

HCPCS code D9242 was billed by 11 providers across 2K claims, totaling $138K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.61

Providers Billing

11

National Spending

$138K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9242

#ProviderTotal Paid
11285771378$66K
21821168113$21K
31801881743$18K
41508294927$16K
51518165810$13K
61730268657$915
71699190710$620
81740664879$531
91740665504$443
101013391143$354
111932494457$207

Showing top 11 of 11 providers billing this code