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#5118 of 11K

D9971

HCPCS Procedure Code

HCPCS code D9971 is the #5,118 most-billed Medicaid procedure code, with $286K in payments across 8,958 claims from 2018–2024. The national median cost per claim is $53.33.

Total Paid

$286K

0.00% of all spending

Total Claims

8,958

Providers

20

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for D9971? Based on 8 providers billing this code nationally.

Median

$53.33

Average

$49.67

Std Dev

$41.43

Max

$121.87

Percentile Distribution (Cost per Claim)

p10
$6.65
p25
$12.98
Median
$53.33
p75
$72.54
p90
$87.43
p95
$104.65
p99
$118.42

50% of providers bill between $12.98 and $72.54 per claim for this code.

90% bill between $6.65 and $87.43.

Top 1% bill above $118.42.

About This Procedure

HCPCS code D9971 was billed by 20 providers across 8,958 claims, totaling $286K in Medicaid payments from 2018–2024. This code was used for 3,907 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.33

Providers Billing

8

National Spending

$286K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9971

#ProviderTotal Paid
11275767303$135K
21154656270$99K
31649373887$23K
41376955179$12K
51639675028$9K
61649661612$4K
71194867499$3K
81518463017$145
91376945634$0
101598970162$0
111720034788$0
121356736466$0
131801269261$0
141760890495$0
151003321365$0
161003947599$0
171831603018$0
181851963227$0
191366738858$0
201215421540$0

Showing top 20 of 20 providers billing this code