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#6141 of 11K

1090F

HCPCS Procedure Code

HCPCS code 1090F is the #6,141 most-billed Medicaid procedure code, with $91K in payments across 651K claims from 2018–2024. The national median cost per claim is $0.23. Costs vary widely — the 90th percentile is $12.84 per claim, 55.8× the median.

Total Paid

$91K

0.00% of all spending

Total Claims

651K

Providers

977

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1090F? Based on 59 providers billing this code nationally.

Median

$0.23

Average

$5.01

Std Dev

$13.15

Max

$74.11

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.23
p75
$2.16
p90
$12.84
p95
$33.67
p99
$56.79

50% of providers bill between $0.00 and $2.16 per claim for this code.

90% bill between $0.00 and $12.84.

Top 1% bill above $56.79.

About This Procedure

HCPCS code 1090F was billed by 977 providers across 651K claims, totaling $91K in Medicaid payments from 2018–2024. This code was used for 553K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.23

Providers Billing

59

National Spending

$91K

Avg/Median Ratio

21.78×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1090F

#ProviderTotal Paid
11194759290$29K
21851305270$15K
31538441761$8K
41629397450$8K
51770902462$5K
61972773224$4K
71982950846$3K
81043387327$2K
91346266848$2K
101528538873$2K
111396828331$1K
121770697278$1K
131780832972$1K
141912377813$934
151720196702$899
161871591818$757
171790344869$707
181730183286$644
191508886805$588
201326091380$562

Showing top 20 of 977 providers billing this code

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