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#4785 of 11K

90380

HCPCS Procedure Code

HCPCS code 90380 is the #4,785 most-billed Medicaid procedure code, with $402K in payments across 29K claims from 2018–2024. The national median cost per claim is $10.27. Costs vary widely — the 90th percentile is $83.61 per claim, 8.1× the median.

Total Paid

$402K

0.00% of all spending

Total Claims

29K

Providers

490

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 90380? Based on 227 providers billing this code nationally.

Median

$10.27

Average

$33.25

Std Dev

$76.05

Max

$470.25

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$1.18
Median
$10.27
p75
$19.84
p90
$83.61
p95
$175.57
p99
$446.57

50% of providers bill between $1.18 and $19.84 per claim for this code.

90% bill between $0.00 and $83.61.

Top 1% bill above $446.57.

About This Procedure

HCPCS code 90380 was billed by 490 providers across 29K claims, totaling $402K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.27

Providers Billing

227

National Spending

$402K

Avg/Median Ratio

3.24×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90380

#ProviderTotal Paid
1Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$35K
2Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$32K
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$22K
41801857172$20K
51518001437$15K
6Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$14K
71356809552$13K
81285853135$12K
9The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$11K
10Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$11K
111093090342$10K
12Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$10K
131851821565$10K
14Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$9K
15Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$9K
161134286248$9K
17Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$8K
181740230952$8K
191447668199$7K
20The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$6K

Showing top 20 of 490 providers billing this code