90385
HCPCS Procedure Code
HCPCS code 90385 is the #7,405 most-billed Medicaid procedure code, with $19K in payments across 1K claims from 2018–2024. The national median cost per claim is $19.10. Costs vary widely — the 90th percentile is $42.21 per claim, 2.2× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
1K
Providers
7
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 90385? Based on 6 providers billing this code nationally.
Median
$19.10
Average
$23.10
Std Dev
$16.81
Max
$49.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.59 and $32.36 per claim for this code.
90% bill between $7.98 and $42.21.
Top 1% bill above $48.45.
About This Procedure
HCPCS code 90385 was billed by 7 providers across 1K claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.10
Providers Billing
6
National Spending
$19K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90385
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336174325 | $10K |
| 2 | 1982087896 | $5K |
| 3 | 1417959701 | $2K |
| 4 | 1326048182 | $988 |
| 5 | 1881755601 | $365 |
| 6 | 1164848453 | $358 |
| 7 | 1376618843 | $0 |
Showing top 7 of 7 providers billing this code