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#6781 of 11K

90654

HCPCS Procedure Code

HCPCS code 90654 is the #6,781 most-billed Medicaid procedure code, with $43K in payments across 7,872 claims from 2018–2024. The national median cost per claim is $4.14. Costs vary widely — the 90th percentile is $17.97 per claim, 4.3× the median.

Total Paid

$43K

0.00% of all spending

Total Claims

7,872

Providers

64

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 90654? Based on 39 providers billing this code nationally.

Median

$4.14

Average

$7.16

Std Dev

$6.98

Max

$23.48

Percentile Distribution (Cost per Claim)

p10
$0.18
p25
$1.54
Median
$4.14
p75
$12.23
p90
$17.97
p95
$19.67
p99
$22.92

50% of providers bill between $1.54 and $12.23 per claim for this code.

90% bill between $0.18 and $17.97.

Top 1% bill above $22.92.

About This Procedure

HCPCS code 90654 was billed by 64 providers across 7,872 claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 7,226 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.14

Providers Billing

39

National Spending

$43K

Avg/Median Ratio

1.73×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90654

#ProviderTotal Paid
1Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$13K
21881016020$9K
31225228679$3K
41043372618$2K
51992131320$2K
61275514069$2K
71811958952$1K
8La Maestra Family Clinic, Inc.

San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC)

$1K
91790069698$1K
101649315029$1K
111124099858$951
121912922956$796
131578597241$786
141538168638$646
151659389948$634
161265509723$404
171205859733$346
181699882738$265
191104863224$258
201841607298$257

Showing top 20 of 64 providers billing this code