90806
HCPCS Procedure Code
HCPCS code 90806 is the #1,181 most-billed Medicaid procedure code, with $35.0M in payments across 28K claims from 2018–2024. The national median cost per claim is $268.15. Costs vary widely — the 90th percentile is $3,082.24 per claim, 11.5× the median.
Total Paid
$35.0M
0.00% of all spending
Total Claims
28K
Providers
6
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 90806? Based on 4 providers billing this code nationally.
Median
$268.15
Average
$1,196.19
Std Dev
$2,039.84
Max
$4,247.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $130.63 and $1,333.71 per claim for this code.
90% bill between $52.58 and $3,082.24.
Top 1% bill above $4,131.35.
About This Procedure
HCPCS code 90806 was billed by 6 providers across 28K claims, totaling $35.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$268.15
Providers Billing
4
National Spending
$35.0M
Avg/Median Ratio
4.46×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90806
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1922171305 | $27.3M |
| 2 | 1881638658 | $7.6M |
| 3 | 1982709846 | $33K |
| 4 | 1659371763 | $11 |
| 5 | 1588732747 | $0 |
| 6 | 1417378597 | $0 |
Showing top 6 of 6 providers billing this code