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#7180 of 11K

90623

HCPCS Procedure Code

HCPCS code 90623 is the #7,180 most-billed Medicaid procedure code, with $26K in payments across 2K claims from 2018–2024. The national median cost per claim is $3.18. Costs vary widely — the 90th percentile is $43.59 per claim, 13.7× the median.

Total Paid

$26K

0.00% of all spending

Total Claims

2K

Providers

46

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 90623? Based on 20 providers billing this code nationally.

Median

$3.18

Average

$25.67

Std Dev

$70.72

Max

$317.21

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$3.18
p75
$15.20
p90
$43.59
p95
$81.45
p99
$270.06

50% of providers bill between $0.00 and $15.20 per claim for this code.

90% bill between $0.00 and $43.59.

Top 1% bill above $270.06.

About This Procedure

HCPCS code 90623 was billed by 46 providers across 2K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.18

Providers Billing

20

National Spending

$26K

Avg/Median Ratio

8.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90623

#ProviderTotal Paid
1St Regis Mohawk Tribe

Akwesasne, NY · Substance Abuse Rehabilitation Facility

$11K
21528039120$7K
31477569838$4K
4New York City Health And Hospitals Corporation

Elmhurst, NY · Internal Medicine

$1K
51700925930$584
61144630682$516
71831209873$276
81821012410$267
91992857841$237
101467643130$195
111871003533$120
121598844805$0
131598144768$0
141790790186$0
15Heart Of Texas Community Health Center Inc

Waco, TX · Clinic/Center Federally Qualified Health Center (FQHC)

$0
161639340631$0
171356490882$0
181881661866$0
19New York City Health And Hospitals Corporation

Jamaica, NY · General Acute Care Hospital

$0
201730125584$0

Showing top 20 of 46 providers billing this code