90868
HCPCS Procedure Code
HCPCS code 90868 is the #1,203 most-billed Medicaid procedure code, with $33.6M in payments across 275K claims from 2018–2024. The national median cost per claim is $140.66.
Total Paid
$33.6M
0.00% of all spending
Total Claims
275K
Providers
113
Avg Cost/Claim
$122
National Cost Distribution
How much do providers bill per claim for 90868? Based on 101 providers billing this code nationally.
Median
$140.66
Average
$131.06
Std Dev
$66.41
Max
$400.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $86.97 and $169.57 per claim for this code.
90% bill between $53.96 and $191.01.
Top 1% bill above $346.55.
About This Procedure
HCPCS code 90868 was billed by 113 providers across 275K claims, totaling $33.6M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$140.66
Providers Billing
101
National Spending
$33.6M
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90868
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790309862 | $3.1M |
| 2 | 1710415617 | $3.1M |
| 3 | 1881287787 | $2.2M |
| 4 | 1275822751 | $2.2M |
| 5 | 1578258281 | $1.8M |
| 6 | 1295266302 | $1.6M |
| 7 | 1871372003 | $1.5M |
| 8 | 1740998202 | $1.4M |
| 9 | 1841928397 | $1.2M |
| 10 | 1811280183 | $906K |
| 11 | 1255911582 | $865K |
| 12 | Northeast Health Services, Llc Taunton, MA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $836K |
| 13 | 1962094714 | $780K |
| 14 | 1316460850 | $718K |
| 15 | 1902565930 | $608K |
| 16 | 1528628633 | $452K |
| 17 | 1700440203 | $441K |
| 18 | 1881139913 | $418K |
| 19 | 1669241535 | $392K |
| 20 | 1366005183 | $384K |
Showing top 20 of 113 providers billing this code