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#1320 of 11K

90680

HCPCS Procedure Code

HCPCS code 90680 is the #1,320 most-billed Medicaid procedure code, with $27.7M in payments across 8.0M claims from 2018–2024. The national median cost per claim is $5.58. Costs vary widely — the 90th percentile is $17.73 per claim, 3.2× the median.

Total Paid

$27.7M

0.00% of all spending

Total Claims

8.0M

Providers

9K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 90680? Based on 5K providers billing this code nationally.

Median

$5.58

Average

$7.42

Std Dev

$9.40

Max

$180.00

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.58
Median
$5.58
p75
$10.99
p90
$17.73
p95
$20.89
p99
$34.43

50% of providers bill between $0.58 and $10.99 per claim for this code.

90% bill between $0.04 and $17.73.

Top 1% bill above $34.43.

About This Procedure

HCPCS code 90680 was billed by 9K providers across 8.0M claims, totaling $27.7M in Medicaid payments from 2018–2024. This code was used for 7.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.58

Providers Billing

5K

National Spending

$27.7M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90680

#ProviderTotal Paid
1The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$516K
21376508788$505K
3Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$294K
41528233103$270K
51124105762$243K
61568901742$224K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$222K
81134286248$211K
91750443503$194K
101104903749$184K
111689639312$179K
121740397751$163K
131598718256$161K
141598139883$150K
15United Health Services Hospitals, Inc.

Binghamton, NY · General Acute Care Hospital

$149K
161790971166$148K
171811091952$142K
181952320061$140K
191679593107$138K
201922246842$129K

Showing top 20 of 9K providers billing this code