Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8402 of 11K

D9970

HCPCS Procedure Code

HCPCS code D9970 is the #8,402 most-billed Medicaid procedure code, with $3K in payments across 490 claims from 2018–2024. The national median cost per claim is $10.53.

Total Paid

$3K

0.00% of all spending

Total Claims

490

Providers

3

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for D9970? Based on 2 providers billing this code nationally.

Median

$10.53

Average

$10.53

Std Dev

$7.38

Max

$15.75

Percentile Distribution (Cost per Claim)

p10
$6.36
p25
$7.92
Median
$10.53
p75
$13.14
p90
$14.71
p95
$15.23
p99
$15.64

50% of providers bill between $7.92 and $13.14 per claim for this code.

90% bill between $6.36 and $14.71.

Top 1% bill above $15.64.

About This Procedure

HCPCS code D9970 was billed by 3 providers across 490 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 263 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.53

Providers Billing

2

National Spending

$3K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.