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#1895 of 11K

90966

HCPCS Procedure Code

HCPCS code 90966 is the #1,895 most-billed Medicaid procedure code, with $12.0M in payments across 145K claims from 2018–2024. The national median cost per claim is $56.49. Costs vary widely — the 90th percentile is $131.79 per claim, 2.3× the median.

Total Paid

$12.0M

0.00% of all spending

Total Claims

145K

Providers

365

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 90966? Based on 352 providers billing this code nationally.

Median

$56.49

Average

$70.58

Std Dev

$69.47

Max

$694.04

Percentile Distribution (Cost per Claim)

p10
$14.95
p25
$31.97
Median
$56.49
p75
$90.13
p90
$131.79
p95
$166.96
p99
$253.58

50% of providers bill between $31.97 and $90.13 per claim for this code.

90% bill between $14.95 and $131.79.

Top 1% bill above $253.58.

About This Procedure

HCPCS code 90966 was billed by 365 providers across 145K claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 123K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.49

Providers Billing

352

National Spending

$12.0M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90966

#ProviderTotal Paid
11548639792$1.7M
21316997505$732K
31902846306$560K
41609226877$466K
51659316008$398K
61962454140$364K
71871699074$265K
81376061572$263K
91447200126$261K
101275604183$257K
111366550675$240K
121235185729$222K
131164644480$189K
141083649651$188K
151740392810$150K
161154361616$143K
171740291780$137K
181407805203$131K
191851631204$120K
201831130723$118K

Showing top 20 of 365 providers billing this code