90937
HCPCS Procedure Code
HCPCS code 90937 is the #743 most-billed Medicaid procedure code, with $91.1M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $42.77. Costs vary widely — the 90th percentile is $225.39 per claim, 5.3× the median.
Total Paid
$91.1M
0.01% of all spending
Total Claims
2.0M
Providers
184
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 90937? Based on 177 providers billing this code nationally.
Median
$42.77
Average
$89.33
Std Dev
$134.11
Max
$1,149.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.92 and $101.68 per claim for this code.
90% bill between $7.22 and $225.39.
Top 1% bill above $640.21.
About This Procedure
HCPCS code 90937 was billed by 184 providers across 2.0M claims, totaling $91.1M in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.77
Providers Billing
177
National Spending
$91.1M
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90937
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548346604 | $10.1M |
| 2 | 1740400431 | $10.1M |
| 3 | 1699112862 | $9.1M |
| 4 | 1598760811 | $4.6M |
| 5 | 1548251218 | $4.4M |
| 6 | 1467451229 | $4.0M |
| 7 | 1811338460 | $3.6M |
| 8 | 1194014191 | $2.8M |
| 9 | 1093723488 | $2.3M |
| 10 | 1245586395 | $2.1M |
| 11 | 1083612089 | $2.1M |
| 12 | 1598746257 | $2.0M |
| 13 | 1588999742 | $1.9M |
| 14 | 1023053527 | $1.6M |
| 15 | 1730517285 | $1.6M |
| 16 | 1235130840 | $1.4M |
| 17 | 1013383520 | $1.2M |
| 18 | 1144866252 | $1.2M |
| 19 | 1346221462 | $1.2M |
| 20 | 1801873831 | $1.1M |
Showing top 20 of 184 providers billing this code