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#6879 of 11K

90749

HCPCS Procedure Code

HCPCS code 90749 is the #6,879 most-billed Medicaid procedure code, with $38K in payments across 13K claims from 2018–2024. The national median cost per claim is $3.02. Costs vary widely — the 90th percentile is $14.62 per claim, 4.8× the median.

Total Paid

$38K

0.00% of all spending

Total Claims

13K

Providers

69

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 90749? Based on 35 providers billing this code nationally.

Median

$3.02

Average

$6.03

Std Dev

$5.85

Max

$17.09

Percentile Distribution (Cost per Claim)

p10
$0.05
p25
$0.93
Median
$3.02
p75
$11.49
p90
$14.62
p95
$16.53
p99
$17.08

50% of providers bill between $0.93 and $11.49 per claim for this code.

90% bill between $0.05 and $14.62.

Top 1% bill above $17.08.

About This Procedure

HCPCS code 90749 was billed by 69 providers across 13K claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.02

Providers Billing

35

National Spending

$38K

Avg/Median Ratio

2.00×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90749

#ProviderTotal Paid
1Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$14K
21083706279$6K
31013062769$3K
4Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$3K
51952476665$2K
61073868261$1K
71770857955$1K
81407877137$820
91689612103$758
101023364395$716
111356515365$697
121053474320$690
131073811378$619
141477983039$579
151356496772$568
16Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$385
17Kaiser Foundation Hospitals

Anaheim, CA · General Acute Care Hospital

$272
181902975642$239
191023024882$233
201134274897$215

Showing top 20 of 69 providers billing this code