#890 of 11K

D8090

HCPCS Procedure Code

HCPCS code D8090 is the #890 most-billed Medicaid procedure code, with $62.8M in payments across 41K claims from 2018–2024. The national median cost per claim is $2,172.52.

Total Paid

$62.8M

0.01% of all spending

Total Claims

41K

Providers

140

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for D8090? Based on 138 providers billing this code nationally.

Median

$2,172.52

Average

$1,935.35

Std Dev

$1,038.87

Max

$4,245.30

Percentile Distribution (Cost per Claim)

p10

$804.66

p25

$900.00

Median

$2,172.52

p75

$2,646.59

p90

$3,151.61

p95

$3,582.23

p99

$4,194.59

50% of providers bill between $900.00 and $2,646.59 per claim for this code.

90% bill between $804.66 and $3,151.61.

Top 1% bill above $4,194.59.

About This Procedure

HCPCS code D8090 was billed by 140 providers across 41K claims, totaling $62.8M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,172.52

Providers Billing

138

National Spending

$62.8M

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8090

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1134282981	$6.1M	$2,564.44	1.2× median	Above Median
2	1114316627	$3.2M	$2,642.56	1.2× median	Above Median
3	1780893909	$3.1M	$2,491.86	1.1× median	Above Median
4	1235594268	$2.9M	$1,840.89	0.8× median	Below Median
5	1386815223	$2.9M	$888.04	0.4× median	Below Median
6	1114156320	$2.4M	$2,632.82	1.2× median	Above Median
7	1881946333	$2.2M	$2,048.35	0.9× median	Below Median
8	1336373109	$2.1M	$2,635.20	1.2× median	Above Median
9	1417175696	$2.1M	$1,364.77	0.6× median	Below Median
10	1811439912	$1.9M	$2,650.39	1.2× median	Above 75th
11	1902974173	$1.9M	$2,465.21	1.1× median	Above Median
12	1669740916	$1.8M	$2,740.28	1.3× median	Above 75th
13	1316277601	$1.4M	$4,243.94	2.0× median	Top 1%
14	1083230494	$1.4M	$1,654.19	0.8× median	Below Median
15	1669655890	$986K	$1,643.57	0.8× median	Below Median
16	1245773233	$984K	$3,842.84	1.8× median	Top 10%
17	1487644944	$982K	$4,110.54	1.9× median	Top 10%
18	1497312771	$882K	$892.31	0.4× median	Below Median
19	1740313618	$860K	$891.61	0.4× median	Below Median
20	1447516661	$839K	$2,934.37	1.4× median	Above 75th

Showing top 20 of 140 providers billing this code

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