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#566 of 11K

90876

HCPCS Procedure Code

HCPCS code 90876 is the #566 most-billed Medicaid procedure code, with $144.1M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $85.83.

Total Paid

$144.1M

0.01% of all spending

Total Claims

1.8M

Providers

486

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for 90876? Based on 481 providers billing this code nationally.

Median

$85.83

Average

$82.07

Std Dev

$19.40

Max

$269.18

Percentile Distribution (Cost per Claim)

p10
$61.07
p25
$75.16
Median
$85.83
p75
$91.48
p90
$95.82
p95
$97.77
p99
$114.78

50% of providers bill between $75.16 and $91.48 per claim for this code.

90% bill between $61.07 and $95.82.

Top 1% bill above $114.78.

About This Procedure

HCPCS code 90876 was billed by 486 providers across 1.8M claims, totaling $144.1M in Medicaid payments from 2018–2024. This code was used for 299K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.83

Providers Billing

481

National Spending

$144.1M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90876

#ProviderTotal Paid
11740767003$5.1M
21114589892$4.9M
31881780724$3.6M
41417478587$3.5M
51578063384$3.3M
61912596685$3.1M
71801495932$2.6M
81194223495$2.5M
91932537297$2.3M
101043889942$2.3M
111306277447$2.2M
121306402045$2.2M
131104954676$1.9M
141992353973$1.8M
151285282327$1.8M
161679169767$1.7M
171114236205$1.5M
181871090498$1.5M
191972125805$1.5M
201275180077$1.5M

Showing top 20 of 486 providers billing this code