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#1353 of 11K

90480

HCPCS Procedure Code

HCPCS code 90480 is the #1,353 most-billed Medicaid procedure code, with $26.0M in payments across 923K claims from 2018–2024. The national median cost per claim is $25.29.

Total Paid

$26.0M

0.00% of all spending

Total Claims

923K

Providers

4K

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 90480? Based on 3K providers billing this code nationally.

Median

$25.29

Average

$25.36

Std Dev

$29.18

Max

$719.00

Percentile Distribution (Cost per Claim)

p10
$2.98
p25
$12.00
Median
$25.29
p75
$35.59
p90
$40.16
p95
$45.56
p99
$60.16

50% of providers bill between $12.00 and $35.59 per claim for this code.

90% bill between $2.98 and $40.16.

Top 1% bill above $60.16.

About This Procedure

HCPCS code 90480 was billed by 4K providers across 923K claims, totaling $26.0M in Medicaid payments from 2018–2024. This code was used for 867K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.29

Providers Billing

3K

National Spending

$26.0M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90480

#ProviderTotal Paid
1Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$2.1M
2Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$1.5M
3Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$1.3M
4Southern California Permanente Medical Group

San Diego, CA · Health Maintenance Organization

$831K
5Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$780K
6Southern California Permanente Medical Group

Anaheim, CA · Health Maintenance Organization

$612K
7Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$569K
8Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$551K
9Southern California Permanente Medical Group

Fontana, CA · Health Maintenance Organization

$522K
10Permanente Medical Group Inc

Santa Clara, CA · Anesthesiology

$492K
11Southern California Permanente Medical Group

Panorama City, CA · Health Maintenance Organization

$487K
12Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$401K
13Southern California Permanente Medical Group

Riverside, CA · Health Maintenance Organization

$368K
141841373800$339K
15Permanente Medical Group Inc

Vallejo, CA · Anesthesiology

$329K
161952333478$264K
17Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$253K
181639252604$235K
191982863783$207K
20Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$206K

Showing top 20 of 4K providers billing this code