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#1343 of 11K

73090

HCPCS Procedure Code

HCPCS code 73090 is the #1,343 most-billed Medicaid procedure code, with $26.6M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $8.95. Costs vary widely — the 90th percentile is $41.67 per claim, 4.7× the median.

Total Paid

$26.6M

0.00% of all spending

Total Claims

1.6M

Providers

2K

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 73090? Based on 2K providers billing this code nationally.

Median

$8.95

Average

$17.45

Std Dev

$26.32

Max

$551.93

Percentile Distribution (Cost per Claim)

p10
$3.21
p25
$5.34
Median
$8.95
p75
$18.71
p90
$41.67
p95
$63.24
p99
$109.71

50% of providers bill between $5.34 and $18.71 per claim for this code.

90% bill between $3.21 and $41.67.

Top 1% bill above $109.71.

About This Procedure

HCPCS code 73090 was billed by 2K providers across 1.6M claims, totaling $26.6M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.95

Providers Billing

2K

National Spending

$26.6M

Avg/Median Ratio

1.95×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73090

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$782K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$738K
3Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$608K
4State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$430K
5Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$422K
6University Hospital

Newark, NJ · General Acute Care Hospital

$376K
7Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$374K
8Spartanburg Medical Center

Spartanburg, SC · Ambulance

$356K
9Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$324K
10Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$262K
11Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$256K
12The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$255K
13Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$249K
14Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$238K
15Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$226K
16Children's Hospital Corporation

Boston, MA · Clinic/Center

$223K
171346297843$203K
18Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$200K
191700949336$196K
201649726738$186K

Showing top 20 of 2K providers billing this code