90623
HCPCS Procedure Code
HCPCS code 90623 is the #7,180 most-billed Medicaid procedure code, with $26K in payments across 2K claims from 2018–2024. The national median cost per claim is $3.18. Costs vary widely — the 90th percentile is $43.59 per claim, 13.7× the median.
Total Paid
$26K
0.00% of all spending
Total Claims
2K
Providers
46
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 90623? Based on 20 providers billing this code nationally.
Median
$3.18
Average
$25.67
Std Dev
$70.72
Max
$317.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $15.20 per claim for this code.
90% bill between $0.00 and $43.59.
Top 1% bill above $270.06.
About This Procedure
HCPCS code 90623 was billed by 46 providers across 2K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.18
Providers Billing
20
National Spending
$26K
Avg/Median Ratio
8.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90623
| # | Provider | Total Paid |
|---|---|---|
| 1 | St Regis Mohawk Tribe Akwesasne, NY · Substance Abuse Rehabilitation Facility | $11K |
| 2 | 1528039120 | $7K |
| 3 | 1477569838 | $4K |
| 4 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $1K |
| 5 | 1700925930 | $584 |
| 6 | 1144630682 | $516 |
| 7 | 1831209873 | $276 |
| 8 | 1821012410 | $267 |
| 9 | 1992857841 | $237 |
| 10 | 1467643130 | $195 |
| 11 | 1871003533 | $120 |
| 12 | 1598844805 | $0 |
| 13 | 1598144768 | $0 |
| 14 | 1790790186 | $0 |
| 15 | Heart Of Texas Community Health Center Inc Waco, TX · Clinic/Center Federally Qualified Health Center (FQHC) | $0 |
| 16 | 1639340631 | $0 |
| 17 | 1356490882 | $0 |
| 18 | 1881661866 | $0 |
| 19 | New York City Health And Hospitals Corporation Jamaica, NY · General Acute Care Hospital | $0 |
| 20 | 1730125584 | $0 |
Showing top 20 of 46 providers billing this code