90867
HCPCS Procedure Code
HCPCS code 90867 is the #4,635 most-billed Medicaid procedure code, with $476K in payments across 3K claims from 2018–2024. The national median cost per claim is $253.60.
Total Paid
$476K
0.00% of all spending
Total Claims
3K
Providers
39
Avg Cost/Claim
$148
National Cost Distribution
How much do providers bill per claim for 90867? Based on 34 providers billing this code nationally.
Median
$253.60
Average
$209.57
Std Dev
$114.28
Max
$367.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $103.23 and $290.99 per claim for this code.
90% bill between $13.71 and $321.79.
Top 1% bill above $362.94.
About This Procedure
HCPCS code 90867 was billed by 39 providers across 3K claims, totaling $476K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$253.60
Providers Billing
34
National Spending
$476K
Avg/Median Ratio
0.83×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90867
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710415617 | $118K |
| 2 | 1790309862 | $118K |
| 3 | 1881287787 | $30K |
| 4 | 1871372003 | $21K |
| 5 | 1316460850 | $19K |
| 6 | 1962094714 | $15K |
| 7 | 1528628633 | $15K |
| 8 | 1255000386 | $13K |
| 9 | 1578258281 | $12K |
| 10 | 1861272874 | $11K |
| 11 | 1841928397 | $11K |
| 12 | 1740998202 | $10K |
| 13 | 1942835798 | $10K |
| 14 | 1437180478 | $9K |
| 15 | 1811280183 | $8K |
| 16 | 1780428698 | $6K |
| 17 | 1205450418 | $6K |
| 18 | 1295266302 | $5K |
| 19 | County Of San Diego San Diego, CA · Public Health or Welfare | $4K |
| 20 | 1356942288 | $4K |
Showing top 20 of 39 providers billing this code