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#6741 of 11K

90634

HCPCS Procedure Code

HCPCS code 90634 is the #6,741 most-billed Medicaid procedure code, with $45K in payments across 30K claims from 2018–2024. The national median cost per claim is $1.29. Costs vary widely — the 90th percentile is $9.15 per claim, 7.1× the median.

Total Paid

$45K

0.00% of all spending

Total Claims

30K

Providers

92

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 90634? Based on 39 providers billing this code nationally.

Median

$1.29

Average

$3.09

Std Dev

$4.11

Max

$14.99

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.26
Median
$1.29
p75
$3.80
p90
$9.15
p95
$12.83
p99
$14.26

50% of providers bill between $0.26 and $3.80 per claim for this code.

90% bill between $0.01 and $9.15.

Top 1% bill above $14.26.

About This Procedure

HCPCS code 90634 was billed by 92 providers across 30K claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.29

Providers Billing

39

National Spending

$45K

Avg/Median Ratio

2.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90634

#ProviderTotal Paid
1The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$24K
21144362807$5K
31174544399$4K
41720174014$3K
51609969286$1K
61376537100$1K
71457584971$847
81639371339$791
91871654459$725
101245413905$594
11Lasante Health Center Inc

Brooklyn, NY · Clinic/Center, Community Health

$504
121275724767$442
131538105382$316
141144213117$228
151467767079$222
161730125584$213
171457400780$208
181144575820$154
191124057203$127
201326000456$120

Showing top 20 of 92 providers billing this code