D9995
HCPCS Procedure Code
HCPCS code D9995 is the #2,702 most-billed Medicaid procedure code, with $4.0M in payments across 338K claims from 2018–2024. The national median cost per claim is $13.12. Costs vary widely — the 90th percentile is $34.34 per claim, 2.6× the median.
Total Paid
$4.0M
0.00% of all spending
Total Claims
338K
Providers
713
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for D9995? Based on 385 providers billing this code nationally.
Median
$13.12
Average
$17.60
Std Dev
$22.61
Max
$239.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.41 and $23.48 per claim for this code.
90% bill between $0.72 and $34.34.
Top 1% bill above $81.95.
About This Procedure
HCPCS code D9995 was billed by 713 providers across 338K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 304K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.12
Providers Billing
385
National Spending
$4.0M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D9995
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124353248 | $1.7M |
| 2 | 1689101750 | $251K |
| 3 | 1437231693 | $161K |
| 4 | 1730287673 | $136K |
| 5 | 1720017809 | $104K |
| 6 | 1417084708 | $90K |
| 7 | 1063480218 | $83K |
| 8 | 1003232463 | $72K |
| 9 | 1649339581 | $71K |
| 10 | 1699923540 | $68K |
| 11 | Smile New York Outreach Llc Long Island City, NY · Clinic/Center Dental | $65K |
| 12 | 1891913042 | $57K |
| 13 | 1871604371 | $49K |
| 14 | 1346231719 | $48K |
| 15 | 1669682498 | $47K |
| 16 | 1265671770 | $46K |
| 17 | 1740547694 | $39K |
| 18 | 1588701320 | $37K |
| 19 | 1184105082 | $36K |
| 20 | 1063779932 | $33K |
Showing top 20 of 713 providers billing this code