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#3156 of 11K

D9990

HCPCS Procedure Code

HCPCS code D9990 is the #3,156 most-billed Medicaid procedure code, with $2.4M in payments across 127K claims from 2018–2024. The national median cost per claim is $20.93.

Total Paid

$2.4M

0.00% of all spending

Total Claims

127K

Providers

123

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for D9990? Based on 101 providers billing this code nationally.

Median

$20.93

Average

$18.95

Std Dev

$9.03

Max

$55.00

Percentile Distribution (Cost per Claim)

p10
$6.56
p25
$14.39
Median
$20.93
p75
$21.96
p90
$22.00
p95
$27.86
p99
$52.87

50% of providers bill between $14.39 and $21.96 per claim for this code.

90% bill between $6.56 and $22.00.

Top 1% bill above $52.87.

About This Procedure

HCPCS code D9990 was billed by 123 providers across 127K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.93

Providers Billing

101

National Spending

$2.4M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9990

#ProviderTotal Paid
11760554448$353K
21225201460$227K
31245632207$168K
41124018130$119K
51679642326$103K
61316931561$91K
71578841672$87K
81922586841$79K
91730328873$78K
101316144116$64K
111215277678$64K
121962158709$64K
131609278233$61K
141760806624$56K
151114291176$50K
161912225236$48K
171285818195$48K
181851987622$46K
191407319239$46K
201689755712$43K

Showing top 20 of 123 providers billing this code