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#3169 of 11K

90869

HCPCS Procedure Code

HCPCS code 90869 is the #3,169 most-billed Medicaid procedure code, with $2.3M in payments across 7K claims from 2018–2024. The national median cost per claim is $363.42.

Total Paid

$2.3M

0.00% of all spending

Total Claims

7K

Providers

23

Avg Cost/Claim

$336

National Cost Distribution

How much do providers bill per claim for 90869? Based on 21 providers billing this code nationally.

Median

$363.42

Average

$327.60

Std Dev

$117.36

Max

$455.51

Percentile Distribution (Cost per Claim)

p10
$164.85
p25
$263.50
Median
$363.42
p75
$431.64
p90
$444.25
p95
$447.28
p99
$453.86

50% of providers bill between $263.50 and $431.64 per claim for this code.

90% bill between $164.85 and $444.25.

Top 1% bill above $453.86.

About This Procedure

HCPCS code 90869 was billed by 23 providers across 7K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$363.42

Providers Billing

21

National Spending

$2.3M

Avg/Median Ratio

0.90×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90869

#ProviderTotal Paid
11295266302$285K
21336988831$252K
31578258281$248K
41467287391$235K
51871372003$202K
61740998202$195K
71841928397$163K
81437180478$156K
91710415617$152K
101972387256$147K
111861272874$76K
121255000386$60K
131780428698$48K
141669241535$24K
151881287787$16K
161598954687$13K
171366290249$13K
181548374960$8K
191194098053$8K
201942835798$8K

Showing top 20 of 23 providers billing this code