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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285771378 | $66K |
| 2 | 1821168113 | $21K |
| 3 | 1801881743 | $18K |
| 4 | 1508294927 | $16K |
| 5 | 1518165810 | $13K |
| 6 | 1730268657 | $915 |
| 7 | 1699190710 | $620 |
| 8 | 1740664879 | $531 |
| 9 | 1740665504 | $443 |
| 10 | 1013391143 | $354 |
| 11 | 1932494457 | $207 |
Showing top 11 of 11 providers billing this code