90913
HCPCS Procedure Code
HCPCS code 90913 is the #8,230 most-billed Medicaid procedure code, with $5K in payments across 585 claims from 2018–2024. The national median cost per claim is $16.70. Costs vary widely — the 90th percentile is $41.07 per claim, 2.5× the median.
Total Paid
$5K
0.00% of all spending
Total Claims
585
Providers
7
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 90913? Based on 7 providers billing this code nationally.
Median
$16.70
Average
$19.72
Std Dev
$19.21
Max
$56.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.45 and $24.62 per claim for this code.
90% bill between $1.65 and $41.07.
Top 1% bill above $55.10.
About This Procedure
HCPCS code 90913 was billed by 7 providers across 585 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 337 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.70
Providers Billing
7
National Spending
$5K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90913
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730440777 | $1K |
| 2 | 1487328506 | $1K |
| 3 | 1508500828 | $1K |
| 4 | 1215940796 | $427 |
| 5 | 1336245828 | $222 |
| 6 | 1316437718 | $188 |
| 7 | 1073827101 | $38 |
Showing top 7 of 7 providers billing this code