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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871282061 | $7K |
| 2 | 1770056426 | $399 |
| 3 | 1689181489 | $180 |
| 4 | 1407973605 | $128 |
| 5 | 1821513375 | $102 |
| 6 | 1407275183 | $91 |
| 7 | 1235311614 | $70 |
| 8 | 1770095028 | $68 |
| 9 | 1003392739 | $55 |
| 10 | 1427237551 | $53 |
| 11 | 1871828152 | $49 |
| 12 | 1942611272 | $25 |
| 13 | 1548709330 | $20 |
| 14 | 1619590312 | $18 |
| 15 | 1811135288 | $7 |
| 16 | 1053656504 | $4 |
| 17 | 1730238767 | $2 |
| 18 | 1588005169 | $2 |
| 19 | 1528125002 | $0 |
| 20 | 1922144971 | $0 |
Showing top 20 of 95 providers billing this code