90834
Psychotherapy, 45 minutes
Psychotherapy, 45 minutes is the #14 most-billed Medicaid procedure code, with $8.82B in payments across 108.8M claims from 2018–2024. The national median cost per claim is $63.65.
Total Paid
$8.82B
0.81% of all spending
Total Claims
108.8M
Providers
28K
Avg Cost/Claim
$81
National Cost Distribution
How much do providers bill per claim for 90834? Based on 26K providers billing this code nationally.
Median
$63.65
Average
$68.78
Std Dev
$50.73
Max
$935.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.31 and $82.02 per claim for this code.
90% bill between $22.12 and $108.34.
Top 1% bill above $267.46.
About This Procedure
HCPCS code 90834 (Psychotherapy, 45 minutes) was billed by 28K providers across 108.8M claims, totaling $8.82B in Medicaid payments from 2018–2024. This code was used for 54.3M unique beneficiaries.
Fraud Risk Context
Psychotherapy codes are frequently involved in mental health billing fraud, particularly when billed without face-to-face contact.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$63.65
Providers Billing
26K
National Spending
$8.82B
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90834
| # | Provider | Total Paid |
|---|---|---|
| 1 | Interborough Developmental And Consultation Center Inc. Brooklyn, NY · Case Management | $107.1M |
| 2 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $68.4M |
| 3 | New York Psychotherapy And Counseling Center Jamaica, NY · Community/Behavioral Health | $65.8M |
| 4 | Bowen Health Inc Warsaw, IN · Psychiatric Hospital | $57.1M |
| 5 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $46.2M |
| 6 | 1023096864 | $45.2M |
| 7 | 1043387152 | $44.9M |
| 8 | 1598707002 | $42.4M |
| 9 | Northeast Health Services, Llc Taunton, MA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $42.3M |
| 10 | Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc Deer Park, NY · Community/Behavioral Health | $40.8M |
| 11 | Clinical & Support Options Inc Greenfield, MA · Community/Behavioral Health | $37.4M |
| 12 | Behavioral Health Network Inc Springfield, MA · Clinic/Center Mental Health (Including Community Mental Health Center) | $35.4M |
| 13 | 1851444616 | $32.5M |
| 14 | Helen Ross Mcnabb Center Knoxville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $32.2M |
| 15 | Child & Family Services Inc. New Bedford, MA · Counselor Mental Health | $31.6M |
| 16 | 1053733378 | $31.5M |
| 17 | 1003028549 | $30.3M |
| 18 | 1669474979 | $30.1M |
| 19 | 1225254881 | $29.7M |
| 20 | 1730565839 | $29.6M |
Showing top 20 of 28K providers billing this code