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#1603 of 11K

D9612

HCPCS Procedure Code

HCPCS code D9612 is the #1,603 most-billed Medicaid procedure code, with $17.9M in payments across 454K claims from 2018–2024. The national median cost per claim is $35.08.

Total Paid

$17.9M

0.00% of all spending

Total Claims

454K

Providers

511

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for D9612? Based on 432 providers billing this code nationally.

Median

$35.08

Average

$38.52

Std Dev

$25.33

Max

$184.00

Percentile Distribution (Cost per Claim)

p10
$7.74
p25
$26.87
Median
$35.08
p75
$52.04
p90
$60.10
p95
$63.69
p99
$142.77

50% of providers bill between $26.87 and $52.04 per claim for this code.

90% bill between $7.74 and $60.10.

Top 1% bill above $142.77.

About This Procedure

HCPCS code D9612 was billed by 511 providers across 454K claims, totaling $17.9M in Medicaid payments from 2018–2024. This code was used for 434K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.08

Providers Billing

432

National Spending

$17.9M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9612

#ProviderTotal Paid
11295752194$1.4M
21306258991$536K
31366977720$470K
41346473279$440K
51497189419$411K
61508158940$395K
71639450869$393K
81518245323$359K
91669892725$344K
101528314689$296K
111518099274$287K
121649761602$277K
131548553589$263K
141386096394$259K
151235422106$258K
161831543701$257K
171922587757$228K
181376963439$224K
191154902021$205K
201003836321$197K

Showing top 20 of 511 providers billing this code

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