#3008 of 11K

90621

HCPCS Procedure Code

HCPCS code 90621 is the #3,008 most-billed Medicaid procedure code, with $2.8M in payments across 304K claims from 2018–2024. The national median cost per claim is $7.66. Costs vary widely — the 90th percentile is $33.00 per claim, 4.3× the median.

Total Paid

$2.8M

0.00% of all spending

Total Claims

304K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 90621? Based on 888 providers billing this code nationally.

Median

$7.66

Average

$14.42

Std Dev

$20.98

Max

$169.97

Percentile Distribution (Cost per Claim)

p10

$0.09

p25

$1.64

Median

$7.66

p75

$19.26

p90

$33.00

p95

$48.65

p99

$118.50

50% of providers bill between $1.64 and $19.26 per claim for this code.

90% bill between $0.09 and $33.00.

Top 1% bill above $118.50.

About This Procedure

HCPCS code 90621 was billed by 1K providers across 304K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 283K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.66

Providers Billing

888

National Spending

$2.8M

Avg/Median Ratio

1.88×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90621

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$201K	$26.20	3.4× median	Above 75th
2	1376508788	$151K	$55.41	7.2× median	Top 10%
3	1568495364	$112K	$14.09	1.8× median	Above Median
4	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$105K	$39.78	5.2× median	Top 10%
5	1992732192	$69K	$27.16	3.5× median	Above 75th
6	1356723605	$50K	$169.97	22.2× median	Top 1%
7	1669404018	$44K	$37.97	5.0× median	Top 10%
8	1811091952	$43K	$11.69	1.5× median	Above Median
9	1760462253	$42K	$24.23	3.2× median	Above 75th
10	1093090342	$40K	$13.32	1.7× median	Above Median
11	1689965865	$35K	$39.66	5.2× median	Top 10%
12	1922291996	$34K	$18.60	2.4× median	Above Median
13	1558664102	$34K	$14.18	1.9× median	Above Median
14	Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies	$34K	$25.15	3.3× median	Above 75th
15	1386719524	$33K	$35.30	4.6× median	Top 10%
16	1285853135	$33K	$21.96	2.9× median	Above 75th
17	Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics	$32K	$2.26	0.3× median	Below Median
18	1003986704	$32K	$25.46	3.3× median	Above 75th
19	1871778555	$29K	$61.56	8.0× median	Top 10%
20	1548373293	$27K	$21.82	2.8× median	Above 75th

Showing top 20 of 1K providers billing this code

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