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#1946 of 11K

90899

Unlisted psychiatric service/procedure

Unlisted psychiatric service/procedure is the #1,946 most-billed Medicaid procedure code, with $11.1M in payments across 161K claims from 2018–2024. The national median cost per claim is $30.72. Costs vary widely — the 90th percentile is $175.00 per claim, 5.7× the median.

Total Paid

$11.1M

0.00% of all spending

Total Claims

161K

Providers

141

Avg Cost/Claim

$69

National Cost Distribution

How much do providers bill per claim for 90899? Based on 122 providers billing this code nationally.

Median

$30.72

Average

$123.73

Std Dev

$424.47

Max

$4,071.52

Percentile Distribution (Cost per Claim)

p10
$14.17
p25
$18.65
Median
$30.72
p75
$90.10
p90
$175.00
p95
$231.36
p99
$1,702.26

50% of providers bill between $18.65 and $90.10 per claim for this code.

90% bill between $14.17 and $175.00.

Top 1% bill above $1,702.26.

About This Procedure

HCPCS code 90899 (Unlisted psychiatric service/procedure) was billed by 141 providers across 161K claims, totaling $11.1M in Medicaid payments from 2018–2024. This code was used for 74K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.72

Providers Billing

122

National Spending

$11.1M

Avg/Median Ratio

4.03×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90899

#ProviderTotal Paid
1Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$1.7M
21174691281$802K
31619072493$770K
41841215985$759K
51275795619$727K
61457594830$478K
71477832772$414K
81699722405$399K
91093898660$354K
10Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$321K
111609869726$306K
121467408013$280K
131689669079$237K
141205860335$224K
151801822440$216K
161689776882$198K
171740373323$194K
181467407395$157K
191497741607$144K
201336196401$131K

Showing top 20 of 141 providers billing this code

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