#2400 of 11K

90658

HCPCS Procedure Code

HCPCS code 90658 is the #2,400 most-billed Medicaid procedure code, with $6.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $8.96. Costs vary widely — the 90th percentile is $18.66 per claim, 2.1× the median.

Total Paid

$6.1M

0.00% of all spending

Total Claims

1.1M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 90658? Based on 3K providers billing this code nationally.

Median

$8.96

Average

$9.64

Std Dev

$14.87

Max

$719.00

Percentile Distribution (Cost per Claim)

p10

$0.42

p25

$2.74

Median

$8.96

p75

$14.50

p90

$18.66

p95

$21.77

p99

$29.97

50% of providers bill between $2.74 and $14.50 per claim for this code.

90% bill between $0.42 and $18.66.

Top 1% bill above $29.97.

About This Procedure

HCPCS code 90658 was billed by 4K providers across 1.1M claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.96

Providers Billing

National Spending

$6.1M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90658

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1396808309	$211K	$17.46	1.9× median	Above 75th
2	1669447413	$108K	$19.07	2.1× median	Top 10%
3	1144250291	$91K	$8.73	1.0× median	Below Median
4	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$79K	$9.35	1.0× median	Above Median
5	1063507747	$74K	$17.38	1.9× median	Above 75th
6	1992990410	$71K	$16.97	1.9× median	Above 75th
7	1750632477	$61K	$21.30	2.4× median	Top 10%
8	Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health	$57K	$22.29	2.5× median	Top 10%
9	1558428953	$49K	$10.60	1.2× median	Above Median
10	1831400795	$48K	$10.61	1.2× median	Above Median
11	1790787919	$47K	$8.43	0.9× median	Below Median
12	West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory	$45K	$17.88	2.0× median	Above 75th
13	1063713295	$45K	$22.65	2.5× median	Top 10%
14	Fishing Point Health Care Llc Portsmouth, VA · General Practice	$44K	$719.00	80.2× median	Top 1%
15	1871588079	$43K	$19.78	2.2× median	Top 10%
16	1982793345	$43K	$7.76	0.9× median	Below Median
17	1750510277	$42K	$158.29	17.7× median	Top 1%
18	1013954486	$42K	$10.55	1.2× median	Above Median
19	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$39K	$17.77	2.0× median	Above 75th
20	1245234673	$39K	$27.31	3.0× median	Top 10%

Showing top 20 of 4K providers billing this code

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