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#5158 of 11K

89050

HCPCS Procedure Code

HCPCS code 89050 is the #5,158 most-billed Medicaid procedure code, with $273K in payments across 48K claims from 2018–2024. The national median cost per claim is $1.90. Costs vary widely — the 90th percentile is $8.92 per claim, 4.7× the median.

Total Paid

$273K

0.00% of all spending

Total Claims

48K

Providers

105

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 89050? Based on 99 providers billing this code nationally.

Median

$1.90

Average

$4.95

Std Dev

$11.12

Max

$85.68

Percentile Distribution (Cost per Claim)

p10
$0.30
p25
$0.81
Median
$1.90
p75
$3.45
p90
$8.92
p95
$24.52
p99
$48.40

50% of providers bill between $0.81 and $3.45 per claim for this code.

90% bill between $0.30 and $8.92.

Top 1% bill above $48.40.

About This Procedure

HCPCS code 89050 was billed by 105 providers across 48K claims, totaling $273K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.90

Providers Billing

99

National Spending

$273K

Avg/Median Ratio

2.61×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 89050

#ProviderTotal Paid
1Ihc Health Services, Inc.

Salt Lake City, UT · Psychiatric Unit

$52K
2Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$51K
3Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$31K
41316241102$24K
5The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$22K
61881632818$13K
7Children's Hospital

Washington, DC · General Acute Care Hospital Children

$8K
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$7K
9Stanford Health Care

Stanford, CA · General Acute Care Hospital

$7K
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$6K
11Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$4K
12Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$4K
13Lee Memorial Health System

Ft Myers, FL · General Acute Care Hospital

$3K
14Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$3K
15Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$3K
16The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$3K
17University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$2K
181205800638$2K
19Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$2K
201073518007$2K

Showing top 20 of 105 providers billing this code