90671
HCPCS Procedure Code
HCPCS code 90671 is the #1,526 most-billed Medicaid procedure code, with $20.1M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $8.59. Costs vary widely — the 90th percentile is $93.87 per claim, 10.9× the median.
Total Paid
$20.1M
0.00% of all spending
Total Claims
1.3M
Providers
3K
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 90671? Based on 2K providers billing this code nationally.
Median
$8.59
Average
$29.36
Std Dev
$51.36
Max
$428.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.08 and $25.46 per claim for this code.
90% bill between $0.00 and $93.87.
Top 1% bill above $239.52.
About This Procedure
HCPCS code 90671 was billed by 3K providers across 1.3M claims, totaling $20.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.59
Providers Billing
2K
National Spending
$20.1M
Avg/Median Ratio
3.42×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90671
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $793K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $703K |
| 3 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $412K |
| 4 | 1174539548 | $341K |
| 5 | 1376508788 | $269K |
| 6 | 1366574048 | $257K |
| 7 | 1518017664 | $217K |
| 8 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $213K |
| 9 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $194K |
| 10 | Mount Sinai Hospital New York, NY · Ambulance | $184K |
| 11 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $183K |
| 12 | 1952320061 | $181K |
| 13 | 1447508064 | $178K |
| 14 | Montefiore Medical Center Bronx, NY · Anesthesiology | $178K |
| 15 | 1407995723 | $176K |
| 16 | 1801857172 | $164K |
| 17 | 1093090342 | $162K |
| 18 | 1184904302 | $158K |
| 19 | 1871660407 | $157K |
| 20 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $143K |
Showing top 20 of 3K providers billing this code