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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $516K |
| 2 | 1376508788 | $505K |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $294K |
| 4 | 1528233103 | $270K |
| 5 | 1124105762 | $243K |
| 6 | 1568901742 | $224K |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $222K |
| 8 | 1134286248 | $211K |
| 9 | 1750443503 | $194K |
| 10 | 1104903749 | $184K |
| 11 | 1689639312 | $179K |
| 12 | 1740397751 | $163K |
| 13 | 1598718256 | $161K |
| 14 | 1598139883 | $150K |
| 15 | United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital | $149K |
| 16 | 1790971166 | $148K |
| 17 | 1811091952 | $142K |
| 18 | 1952320061 | $140K |
| 19 | 1679593107 | $138K |
| 20 | 1922246842 | $129K |
Showing top 20 of 9K providers billing this code