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#1229 of 11K

D9610

HCPCS Procedure Code

HCPCS code D9610 is the #1,229 most-billed Medicaid procedure code, with $32.4M in payments across 829K claims from 2018–2024. The national median cost per claim is $28.44. Costs vary widely — the 90th percentile is $66.34 per claim, 2.3× the median.

Total Paid

$32.4M

0.00% of all spending

Total Claims

829K

Providers

791

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for D9610? Based on 716 providers billing this code nationally.

Median

$28.44

Average

$32.63

Std Dev

$23.70

Max

$298.25

Percentile Distribution (Cost per Claim)

p10
$9.44
p25
$17.32
Median
$28.44
p75
$41.03
p90
$66.34
p95
$80.47
p99
$89.03

50% of providers bill between $17.32 and $41.03 per claim for this code.

90% bill between $9.44 and $66.34.

Top 1% bill above $89.03.

About This Procedure

HCPCS code D9610 was billed by 791 providers across 829K claims, totaling $32.4M in Medicaid payments from 2018–2024. This code was used for 677K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.44

Providers Billing

716

National Spending

$32.4M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9610

#ProviderTotal Paid
11760633341$1.5M
21588875967$1.4M
31154533826$1.3M
41730233768$1.0M
51699116111$948K
61023322468$910K
71508086299$856K
81043502784$842K
91043437866$824K
101144373721$814K
111609090968$739K
121437568409$716K
131225278997$714K
141659768802$507K
151275052359$467K
161104088160$415K
171881015220$403K
181528197175$359K
191891342267$338K
201376673152$333K

Showing top 20 of 791 providers billing this code

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