#2824 of 11K

90901

HCPCS Procedure Code

HCPCS code 90901 is the #2,824 most-billed Medicaid procedure code, with $3.5M in payments across 163K claims from 2018–2024. The national median cost per claim is $18.55. Costs vary widely — the 90th percentile is $37.78 per claim, 2.0× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

163K

Providers

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 90901? Based on 85 providers billing this code nationally.

Median

$18.55

Average

$19.16

Std Dev

$17.33

Max

$118.43

Percentile Distribution (Cost per Claim)

p10

$1.16

p25

$4.38

Median

$18.55

p75

$30.32

p90

$37.78

p95

$39.02

p99

$52.14

50% of providers bill between $4.38 and $30.32 per claim for this code.

90% bill between $1.16 and $37.78.

Top 1% bill above $52.14.

About This Procedure

HCPCS code 90901 was billed by 96 providers across 163K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.55

Providers Billing

National Spending

$3.5M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90901

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1649854126	$730K	$39.51	2.1× median	Top 10%
2	1023730421	$581K	$39.33	2.1× median	Top 10%
3	1124435730	$319K	$37.90	2.0× median	Top 10%
4	1679812317	$237K	$118.43	6.4× median	Top 1%
5	1992371553	$207K	$38.41	2.1× median	Top 10%
6	1932583663	$155K	$7.41	0.4× median	Below Median
7	1679233266	$132K	$36.96	2.0× median	Above 75th
8	1295211126	$96K	$35.62	1.9× median	Above 75th
9	1235677477	$89K	$23.80	1.3× median	Above Median
10	1528452224	$78K	$33.64	1.8× median	Above 75th
11	1730510678	$77K	$20.32	1.1× median	Above Median
12	1770710709	$68K	$18.49	1.0× median	Below Median
13	1144262601	$56K	$20.54	1.1× median	Above Median
14	1740621697	$46K	$16.25	0.9× median	Below Median
15	1841253457	$45K	$28.81	1.6× median	Above Median
16	1295463123	$39K	$39.33	2.1× median	Top 10%
17	1437668985	$39K	$8.38	0.5× median	Below Median
18	1861031601	$34K	$36.91	2.0× median	Above 75th
19	1497290415	$30K	$29.17	1.6× median	Above Median
20	1578063384	$30K	$26.56	1.4× median	Above Median

Showing top 20 of 96 providers billing this code

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