90630
HCPCS Procedure Code
HCPCS code 90630 is the #5,961 most-billed Medicaid procedure code, with $114K in payments across 17K claims from 2018–2024. The national median cost per claim is $11.50.
Total Paid
$114K
0.00% of all spending
Total Claims
17K
Providers
189
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 90630? Based on 117 providers billing this code nationally.
Median
$11.50
Average
$12.84
Std Dev
$20.98
Max
$217.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.91 and $18.62 per claim for this code.
90% bill between $0.53 and $21.72.
Top 1% bill above $37.50.
About This Procedure
HCPCS code 90630 was billed by 189 providers across 17K claims, totaling $114K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.50
Providers Billing
117
National Spending
$114K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90630
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700062296 | $26K |
| 2 | 1730209545 | $12K |
| 3 | 1578625950 | $6K |
| 4 | 1962442244 | $4K |
| 5 | 1417901091 | $4K |
| 6 | 1477628840 | $4K |
| 7 | 1366592982 | $4K |
| 8 | 1134262272 | $4K |
| 9 | 1437279676 | $4K |
| 10 | 1427110329 | $4K |
| 11 | 1669589768 | $3K |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2K |
| 13 | 1073959664 | $2K |
| 14 | 1083667323 | $2K |
| 15 | 1952332298 | $1K |
| 16 | 1467491563 | $1K |
| 17 | 1275841629 | $1K |
| 18 | 1245350040 | $1K |
| 19 | 1811971302 | $1K |
| 20 | 1861513996 | $1K |
Showing top 20 of 189 providers billing this code