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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $35K |
| 2 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $32K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $22K |
| 4 | 1801857172 | $20K |
| 5 | 1518001437 | $15K |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $14K |
| 7 | 1356809552 | $13K |
| 8 | 1285853135 | $12K |
| 9 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $11K |
| 10 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $11K |
| 11 | 1093090342 | $10K |
| 12 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $10K |
| 13 | 1851821565 | $10K |
| 14 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $9K |
| 15 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $9K |
| 16 | 1134286248 | $9K |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $8K |
| 18 | 1740230952 | $8K |
| 19 | 1447668199 | $7K |
| 20 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $6K |
Showing top 20 of 490 providers billing this code