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#5530 of 11K

89190

HCPCS Procedure Code

HCPCS code 89190 is the #5,530 most-billed Medicaid procedure code, with $181K in payments across 49K claims from 2018–2024. The national median cost per claim is $4.13.

Total Paid

$181K

0.00% of all spending

Total Claims

49K

Providers

46

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 89190? Based on 43 providers billing this code nationally.

Median

$4.13

Average

$4.68

Std Dev

$5.22

Max

$35.73

Percentile Distribution (Cost per Claim)

p10
$1.32
p25
$3.13
Median
$4.13
p75
$4.97
p90
$5.95
p95
$8.14
p99
$24.95

50% of providers bill between $3.13 and $4.97 per claim for this code.

90% bill between $1.32 and $5.95.

Top 1% bill above $24.95.

About This Procedure

HCPCS code 89190 was billed by 46 providers across 49K claims, totaling $181K in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.13

Providers Billing

43

National Spending

$181K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 89190

#ProviderTotal Paid
11275542227$66K
21821060898$22K
3Holzer Hospital Foundation

Gallipolis, OH · General Acute Care Hospital Rural

$21K
41952302853$20K
51225118946$7K
61508817248$7K
71255366860$6K
81275841488$5K
91699962431$5K
101609913326$3K
111457425688$3K
121649279670$2K
131346374238$2K
141437100013$1K
151912016098$1K
161164402038$922
171033139498$911
181225409675$891
191528604253$877
201538329198$794

Showing top 20 of 46 providers billing this code