90649
HCPCS Procedure Code
HCPCS code 90649 is the #2,752 most-billed Medicaid procedure code, with $3.8M in payments across 518K claims from 2018–2024. The national median cost per claim is $6.42. Costs vary widely — the 90th percentile is $37.62 per claim, 5.9× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
518K
Providers
2K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 90649? Based on 1K providers billing this code nationally.
Median
$6.42
Average
$14.38
Std Dev
$25.60
Max
$215.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.92 and $13.02 per claim for this code.
90% bill between $0.31 and $37.62.
Top 1% bill above $148.91.
About This Procedure
HCPCS code 90649 was billed by 2K providers across 518K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 467K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.42
Providers Billing
1K
National Spending
$3.8M
Avg/Median Ratio
2.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90649
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558428953 | $249K |
| 2 | 1700886322 | $112K |
| 3 | 1851668800 | $97K |
| 4 | 1821292012 | $88K |
| 5 | 1003985755 | $77K |
| 6 | 1558664102 | $77K |
| 7 | 1710354899 | $72K |
| 8 | Erie Family Health Center, Inc Chicago, IL · Clinic/Center, Federally Qualified Health Center (FQHC) | $68K |
| 9 | 1396808309 | $58K |
| 10 | 1598702094 | $51K |
| 11 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $50K |
| 12 | 1457397986 | $42K |
| 13 | 1205098340 | $42K |
| 14 | 1992732192 | $41K |
| 15 | 1790128080 | $35K |
| 16 | 1194759290 | $34K |
| 17 | 1598762940 | $34K |
| 18 | 1639218548 | $33K |
| 19 | 1043306574 | $32K |
| 20 | 1801800776 | $32K |
Showing top 20 of 2K providers billing this code