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#7948 of 11K

D9985

HCPCS Procedure Code

HCPCS code D9985 is the #7,948 most-billed Medicaid procedure code, with $8K in payments across 35K claims from 2018–2024. The national median cost per claim is $0.39. Costs vary widely — the 90th percentile is $1.70 per claim, 4.4× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

35K

Providers

95

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for D9985? Based on 18 providers billing this code nationally.

Median

$0.39

Average

$0.77

Std Dev

$0.99

Max

$3.95

Percentile Distribution (Cost per Claim)

p10
$0.06
p25
$0.09
Median
$0.39
p75
$1.08
p90
$1.70
p95
$2.29
p99
$3.62

50% of providers bill between $0.09 and $1.08 per claim for this code.

90% bill between $0.06 and $1.70.

Top 1% bill above $3.62.

About This Procedure

HCPCS code D9985 was billed by 95 providers across 35K claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.39

Providers Billing

18

National Spending

$8K

Avg/Median Ratio

1.97×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for D9985

#ProviderTotal Paid
11871282061$7K
21770056426$399
31689181489$180
41407973605$128
51821513375$102
61407275183$91
71235311614$70
81770095028$68
91003392739$55
101427237551$53
111871828152$49
121942611272$25
131548709330$20
141619590312$18
151811135288$7
161053656504$4
171730238767$2
181588005169$2
191528125002$0
201922144971$0

Showing top 20 of 95 providers billing this code