D9997
HCPCS Procedure Code
HCPCS code D9997 is the #3,691 most-billed Medicaid procedure code, with $1.3M in payments across 23K claims from 2018–2024. The national median cost per claim is $33.57. Costs vary widely — the 90th percentile is $82.60 per claim, 2.5× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
23K
Providers
60
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for D9997? Based on 33 providers billing this code nationally.
Median
$33.57
Average
$47.35
Std Dev
$46.67
Max
$224.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.77 and $54.63 per claim for this code.
90% bill between $6.55 and $82.60.
Top 1% bill above $200.71.
About This Procedure
HCPCS code D9997 was billed by 60 providers across 23K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.57
Providers Billing
33
National Spending
$1.3M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D9997
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972982007 | $739K |
| 2 | 1043663107 | $179K |
| 3 | 1982674917 | $88K |
| 4 | 1760436190 | $64K |
| 5 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $59K |
| 6 | 1578529954 | $40K |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $30K |
| 8 | 1508812116 | $24K |
| 9 | 1568509149 | $15K |
| 10 | 1326519612 | $14K |
| 11 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $12K |
| 12 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $9K |
| 13 | University Of Rochester Rochester, NY · General Acute Care Hospital | $9K |
| 14 | 1073689600 | $8K |
| 15 | 1932167145 | $8K |
| 16 | 1699805390 | $6K |
| 17 | 1699895706 | $5K |
| 18 | 1780702167 | $3K |
| 19 | 1982787537 | $2K |
| 20 | 1598299356 | $2K |
Showing top 20 of 60 providers billing this code