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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $69K |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $54K |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $17K |
| 4 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $14K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $10K |
| 6 | Children's Hospital Corporation Boston, MA · Clinic/Center | $9K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $6K |
| 8 | State Of Connecticut Farmington, CT · Counselor, Professional | $5K |
| 9 | 1811913460 | $5K |
| 10 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $4K |
| 11 | 1609983790 | $4K |
| 12 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $3K |
| 13 | 1144471715 | $2K |
| 14 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $2K |
| 15 | 1811081797 | $1K |
| 16 | 1699874248 | $811 |
| 17 | 1932280666 | $795 |
| 18 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $745 |
| 19 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $682 |
| 20 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $635 |
Showing top 20 of 32 providers billing this code