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#1872 of 11K

90620

HCPCS Procedure Code

HCPCS code 90620 is the #1,872 most-billed Medicaid procedure code, with $12.4M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $6.49. Costs vary widely — the 90th percentile is $34.41 per claim, 5.3× the median.

Total Paid

$12.4M

0.00% of all spending

Total Claims

1.3M

Providers

4K

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 90620? Based on 3K providers billing this code nationally.

Median

$6.49

Average

$13.80

Std Dev

$22.09

Max

$223.79

Percentile Distribution (Cost per Claim)

p10
$0.07
p25
$1.32
Median
$6.49
p75
$17.65
p90
$34.41
p95
$49.14
p99
$103.92

50% of providers bill between $1.32 and $17.65 per claim for this code.

90% bill between $0.07 and $34.41.

Top 1% bill above $103.92.

About This Procedure

HCPCS code 90620 was billed by 4K providers across 1.3M claims, totaling $12.4M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.49

Providers Billing

3K

National Spending

$12.4M

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90620

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$384K
21891839270$339K
3The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$327K
4Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX · Clinic/Center, Multi-Specialty

$197K
51851821565$182K
61619923919$164K
7Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$154K
81356406136$140K
91194855155$139K
101356723605$139K
11El Centro Del Barrio, Inc.

San Antonio, TX · Clinic/Center, Federally Qualified Health Center (FQHC)

$136K
121538264080$125K
131497107775$116K
141003824608$109K
15The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$107K
16Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$106K
17Arkansas Childrens Hospital

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

$100K
181649337171$95K
191275550212$91K
20Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$90K

Showing top 20 of 4K providers billing this code