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#624 of 11K

83690

HCPCS Procedure Code

HCPCS code 83690 is the #624 most-billed Medicaid procedure code, with $122.5M in payments across 33.6M claims from 2018–2024. The national median cost per claim is $3.35. Costs vary widely — the 90th percentile is $8.49 per claim, 2.5× the median.

Total Paid

$122.5M

0.01% of all spending

Total Claims

33.6M

Providers

5K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 83690? Based on 5K providers billing this code nationally.

Median

$3.35

Average

$5.40

Std Dev

$12.77

Max

$361.10

Percentile Distribution (Cost per Claim)

p10
$0.19
p25
$0.62
Median
$3.35
p75
$5.62
p90
$8.49
p95
$17.36
p99
$57.55

50% of providers bill between $0.62 and $5.62 per claim for this code.

90% bill between $0.19 and $8.49.

Top 1% bill above $57.55.

About This Procedure

HCPCS code 83690 was billed by 5K providers across 33.6M claims, totaling $122.5M in Medicaid payments from 2018–2024. This code was used for 29.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.35

Providers Billing

5K

National Spending

$122.5M

Avg/Median Ratio

1.61×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 83690

#ProviderTotal Paid
11942247044$1.2M
21093740128$1.1M
3The Miriam Hospital

Providence, RI · General Acute Care Hospital

$1.1M
4Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$1.1M
5Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$1.0M
6Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$968K
7Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$900K
81114367497$836K
9Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$816K
10Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$712K
111013332014$690K
12Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$669K
13Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$630K
14Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$628K
15Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$627K
16Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$604K
17Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$545K
181386643294$541K
19University Of Kentucky

Lexington, KY · General Acute Care Hospital

$525K
20Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$487K

Showing top 20 of 5K providers billing this code