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#1443 of 11K

90648

HCPCS Procedure Code

HCPCS code 90648 is the #1,443 most-billed Medicaid procedure code, with $23.1M in payments across 6.0M claims from 2018–2024. The national median cost per claim is $4.08. Costs vary widely — the 90th percentile is $13.43 per claim, 3.3× the median.

Total Paid

$23.1M

0.00% of all spending

Total Claims

6.0M

Providers

7K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 90648? Based on 4K providers billing this code nationally.

Median

$4.08

Average

$5.76

Std Dev

$6.97

Max

$150.54

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.36
Median
$4.08
p75
$9.07
p90
$13.43
p95
$18.62
p99
$22.86

50% of providers bill between $0.36 and $9.07 per claim for this code.

90% bill between $0.03 and $13.43.

Top 1% bill above $22.86.

About This Procedure

HCPCS code 90648 was billed by 7K providers across 6.0M claims, totaling $23.1M in Medicaid payments from 2018–2024. This code was used for 5.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.08

Providers Billing

4K

National Spending

$23.1M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90648

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$1.4M
2Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$1.2M
3Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$781K
41750443503$406K
51134286248$326K
6The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$308K
7Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$281K
81790971166$266K
91528233103$219K
10United Health Services Hospitals, Inc.

Binghamton, NY · General Acute Care Hospital

$202K
111043323439$198K
121780950543$198K
131376949503$197K
141033138250$192K
151689685315$140K
16Mary Imogene Bassett Hospital

Cooperstown, NY · General Acute Care Hospital, Rural

$139K
171598766735$136K
181134494909$130K
191598139883$129K
201104917954$128K

Showing top 20 of 7K providers billing this code