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#5382 of 11K

89230

HCPCS Procedure Code

HCPCS code 89230 is the #5,382 most-billed Medicaid procedure code, with $213K in payments across 8,591 claims from 2018–2024. The national median cost per claim is $27.89. Costs vary widely — the 90th percentile is $58.06 per claim, 2.1× the median.

Total Paid

$213K

0.00% of all spending

Total Claims

8,591

Providers

32

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 89230? Based on 32 providers billing this code nationally.

Median

$27.89

Average

$31.77

Std Dev

$25.26

Max

$94.45

Percentile Distribution (Cost per Claim)

p10
$2.74
p25
$11.47
Median
$27.89
p75
$46.01
p90
$58.06
p95
$82.09
p99
$91.86

50% of providers bill between $11.47 and $46.01 per claim for this code.

90% bill between $2.74 and $58.06.

Top 1% bill above $91.86.

About This Procedure

HCPCS code 89230 was billed by 32 providers across 8,591 claims, totaling $213K in Medicaid payments from 2018–2024. This code was used for 8,062 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.89

Providers Billing

32

National Spending

$213K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 89230

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$69K
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$54K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$17K
4Arkansas Childrens Hospital

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

$14K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$10K
6Children's Hospital Corporation

Boston, MA · Clinic/Center

$9K
7Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$6K
8State Of Connecticut

Farmington, CT · Counselor, Professional

$5K
91811913460$5K
10Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$4K
111609983790$4K
12Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$3K
131144471715$2K
14Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$2K
151811081797$1K
161699874248$811
171932280666$795
18Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$745
19Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$682
20Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$635

Showing top 20 of 32 providers billing this code

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