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#2068 of 11K

90647

HCPCS Procedure Code

HCPCS code 90647 is the #2,068 most-billed Medicaid procedure code, with $9.5M in payments across 4.0M claims from 2018–2024. The national median cost per claim is $4.31. Costs vary widely — the 90th percentile is $15.20 per claim, 3.5× the median.

Total Paid

$9.5M

0.00% of all spending

Total Claims

4.0M

Providers

4K

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 90647? Based on 2K providers billing this code nationally.

Median

$4.31

Average

$6.11

Std Dev

$10.04

Max

$338.12

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.22
Median
$4.31
p75
$9.56
p90
$15.20
p95
$18.83
p99
$22.89

50% of providers bill between $0.22 and $9.56 per claim for this code.

90% bill between $0.02 and $15.20.

Top 1% bill above $22.89.

About This Procedure

HCPCS code 90647 was billed by 4K providers across 4.0M claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 3.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.31

Providers Billing

2K

National Spending

$9.5M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90647

#ProviderTotal Paid
1Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$314K
2The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$126K
31770532681$118K
41851821565$112K
51457337834$104K
61205844719$102K
71952330649$99K
8Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$93K
91447207287$93K
101730123472$92K
11Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$91K
121538597349$89K
131326130550$84K
141043242514$72K
151407966005$70K
161245277631$67K
171659332849$63K
181083743538$62K
19Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$59K
201609881077$59K

Showing top 20 of 4K providers billing this code