90947
HCPCS Procedure Code
HCPCS code 90947 is the #2,622 most-billed Medicaid procedure code, with $4.5M in payments across 68K claims from 2018–2024. The national median cost per claim is $58.16. Costs vary widely — the 90th percentile is $212.55 per claim, 3.7× the median.
Total Paid
$4.5M
0.00% of all spending
Total Claims
68K
Providers
18
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 90947? Based on 18 providers billing this code nationally.
Median
$58.16
Average
$82.40
Std Dev
$79.34
Max
$271.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.54 and $87.30 per claim for this code.
90% bill between $20.99 and $212.55.
Top 1% bill above $269.63.
About This Procedure
HCPCS code 90947 was billed by 18 providers across 68K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.16
Providers Billing
18
National Spending
$4.5M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90947
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164465548 | $1.9M |
| 2 | 1194930693 | $620K |
| 3 | 1922280007 | $478K |
| 4 | 1720314982 | $461K |
| 5 | 1942306188 | $343K |
| 6 | 1750495669 | $302K |
| 7 | 1811041692 | $155K |
| 8 | 1114958584 | $95K |
| 9 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $53K |
| 10 | 1265613541 | $47K |
| 11 | 1891702833 | $21K |
| 12 | 1093062796 | $7K |
| 13 | 1174667802 | $5K |
| 14 | 1902846306 | $4K |
| 15 | 1710959457 | $2K |
| 16 | 1740231448 | $2K |
| 17 | 1043568835 | $411 |
| 18 | 1396901864 | $261 |
Showing top 18 of 18 providers billing this code