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#7775 of 11K

90021

HCPCS Procedure Code

HCPCS code 90021 is the #7,775 most-billed Medicaid procedure code, with $10K in payments across 944 claims from 2018–2024. The national median cost per claim is $11.21.

Total Paid

$10K

0.00% of all spending

Total Claims

944

Providers

2

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 90021? Based on 2 providers billing this code nationally.

Median

$11.21

Average

$11.21

Std Dev

$3.16

Max

$13.45

Percentile Distribution (Cost per Claim)

p10
$9.42
p25
$10.09
Median
$11.21
p75
$12.33
p90
$13.00
p95
$13.23
p99
$13.40

50% of providers bill between $10.09 and $12.33 per claim for this code.

90% bill between $9.42 and $13.00.

Top 1% bill above $13.40.

About This Procedure

HCPCS code 90021 was billed by 2 providers across 944 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 686 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.21

Providers Billing

2

National Spending

$10K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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