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#4171 of 11K

D9992

HCPCS Procedure Code

HCPCS code D9992 is the #4,171 most-billed Medicaid procedure code, with $785K in payments across 112K claims from 2018–2024. The national median cost per claim is $13.97.

Total Paid

$785K

0.00% of all spending

Total Claims

112K

Providers

210

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for D9992? Based on 163 providers billing this code nationally.

Median

$13.97

Average

$13.54

Std Dev

$11.16

Max

$92.13

Percentile Distribution (Cost per Claim)

p10
$2.99
p25
$8.15
Median
$13.97
p75
$14.72
p90
$22.00
p95
$25.76
p99
$65.12

50% of providers bill between $8.15 and $14.72 per claim for this code.

90% bill between $2.99 and $22.00.

Top 1% bill above $65.12.

About This Procedure

HCPCS code D9992 was billed by 210 providers across 112K claims, totaling $785K in Medicaid payments from 2018–2024. This code was used for 104K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.97

Providers Billing

163

National Spending

$785K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9992

#ProviderTotal Paid
1Community Health Care

Tacoma, WA · Case Management

$82K
21437360344$55K
31194810143$45K
41326395930$41K
51164553137$25K
61184018954$22K
71386862134$22K
81043854029$21K
91225545270$19K
101922479047$19K
111205385465$18K
121538152269$18K
131336368182$17K
141740678341$16K
151477807261$15K
161124365796$15K
171588963615$13K
181730172420$12K
191124482310$11K
201689755712$11K

Showing top 20 of 210 providers billing this code