D9991
HCPCS Procedure Code
HCPCS code D9991 is the #5,038 most-billed Medicaid procedure code, with $312K in payments across 41K claims from 2018–2024. The national median cost per claim is $9.86. Costs vary widely — the 90th percentile is $67.07 per claim, 6.8× the median.
Total Paid
$312K
0.00% of all spending
Total Claims
41K
Providers
60
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for D9991? Based on 32 providers billing this code nationally.
Median
$9.86
Average
$22.97
Std Dev
$41.96
Max
$205.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.43 and $11.19 per claim for this code.
90% bill between $1.73 and $67.07.
Top 1% bill above $173.74.
About This Procedure
HCPCS code D9991 was billed by 60 providers across 41K claims, totaling $312K in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.86
Providers Billing
32
National Spending
$312K
Avg/Median Ratio
2.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for D9991
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972982007 | $114K |
| 2 | 1760554448 | $78K |
| 3 | 1619275039 | $26K |
| 4 | 1730328873 | $21K |
| 5 | 1083933113 | $18K |
| 6 | 1225201460 | $13K |
| 7 | 1679139257 | $11K |
| 8 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $11K |
| 9 | 1669470019 | $7K |
| 10 | 1306898432 | $3K |
| 11 | 1437231693 | $3K |
| 12 | 1295961829 | $2K |
| 13 | 1700184116 | $1K |
| 14 | 1013154657 | $977 |
| 15 | 1417967530 | $710 |
| 16 | 1760603906 | $557 |
| 17 | 1457509465 | $324 |
| 18 | 1831249846 | $322 |
| 19 | 1760912745 | $318 |
| 20 | 1053539650 | $288 |
Showing top 20 of 60 providers billing this code