D9613
HCPCS Procedure Code
HCPCS code D9613 is the #4,175 most-billed Medicaid procedure code, with $783K in payments across 12K claims from 2018–2024. The national median cost per claim is $55.79. Costs vary widely — the 90th percentile is $191.76 per claim, 3.4× the median.
Total Paid
$783K
0.00% of all spending
Total Claims
12K
Providers
18
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for D9613? Based on 15 providers billing this code nationally.
Median
$55.79
Average
$97.99
Std Dev
$83.61
Max
$200.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.00 and $187.44 per claim for this code.
90% bill between $7.92 and $191.76.
Top 1% bill above $199.80.
About This Procedure
HCPCS code D9613 was billed by 18 providers across 12K claims, totaling $783K in Medicaid payments from 2018–2024. This code was used for 7,133 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$55.79
Providers Billing
15
National Spending
$783K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for D9613
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295752194 | $221K |
| 2 | 1992122956 | $198K |
| 3 | 1033531124 | $101K |
| 4 | 1053951350 | $99K |
| 5 | 1427563956 | $46K |
| 6 | 1427219245 | $39K |
| 7 | 1457578239 | $36K |
| 8 | 1972554186 | $12K |
| 9 | 1811387863 | $9K |
| 10 | 1225624596 | $8K |
| 11 | 1952898025 | $4K |
| 12 | 1295271450 | $4K |
| 13 | 1154864106 | $3K |
| 14 | 1730253949 | $2K |
| 15 | 1003023029 | $540 |
| 16 | 1861913022 | $0 |
| 17 | 1669541231 | $0 |
| 18 | 1568715175 | $0 |
Showing top 18 of 18 providers billing this code