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#7405 of 11K

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)

p10
$7.98
p25
$13.59
Median
$19.10
p75
$32.36
p90
$42.21
p95
$45.68
p99
$48.45

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

#ProviderTotal Paid
11336174325$10K
21982087896$5K
31417959701$2K
41326048182$988
51881755601$365
61164848453$358
71376618843$0

Showing top 7 of 7 providers billing this code