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#2752 of 11K

90649

HCPCS Procedure Code

HCPCS code 90649 is the #2,752 most-billed Medicaid procedure code, with $3.8M in payments across 518K claims from 2018–2024. The national median cost per claim is $6.42. Costs vary widely — the 90th percentile is $37.62 per claim, 5.9× the median.

Total Paid

$3.8M

0.00% of all spending

Total Claims

518K

Providers

2K

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 90649? Based on 1K providers billing this code nationally.

Median

$6.42

Average

$14.38

Std Dev

$25.60

Max

$215.11

Percentile Distribution (Cost per Claim)

p10
$0.31
p25
$1.92
Median
$6.42
p75
$13.02
p90
$37.62
p95
$60.63
p99
$148.91

50% of providers bill between $1.92 and $13.02 per claim for this code.

90% bill between $0.31 and $37.62.

Top 1% bill above $148.91.

About This Procedure

HCPCS code 90649 was billed by 2K providers across 518K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 467K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.42

Providers Billing

1K

National Spending

$3.8M

Avg/Median Ratio

2.24×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90649

#ProviderTotal Paid
11558428953$249K
21700886322$112K
31851668800$97K
41821292012$88K
51003985755$77K
61558664102$77K
71710354899$72K
8Erie Family Health Center, Inc

Chicago, IL · Clinic/Center, Federally Qualified Health Center (FQHC)

$68K
91396808309$58K
101598702094$51K
11Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$50K
121457397986$42K
131205098340$42K
141992732192$41K
151790128080$35K
161194759290$34K
171598762940$34K
181639218548$33K
191043306574$32K
201801800776$32K

Showing top 20 of 2K providers billing this code