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#4851 of 11K

90655

HCPCS Procedure Code

HCPCS code 90655 is the #4,851 most-billed Medicaid procedure code, with $376K in payments across 90K claims from 2018–2024. The national median cost per claim is $3.81. Costs vary widely — the 90th percentile is $12.22 per claim, 3.2× the median.

Total Paid

$376K

0.00% of all spending

Total Claims

90K

Providers

575

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 90655? Based on 330 providers billing this code nationally.

Median

$3.81

Average

$5.72

Std Dev

$5.93

Max

$34.98

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$1.07
Median
$3.81
p75
$9.00
p90
$12.22
p95
$17.76
p99
$27.68

50% of providers bill between $1.07 and $9.00 per claim for this code.

90% bill between $0.14 and $12.22.

Top 1% bill above $27.68.

About This Procedure

HCPCS code 90655 was billed by 575 providers across 90K claims, totaling $376K in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.81

Providers Billing

330

National Spending

$376K

Avg/Median Ratio

1.50×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90655

#ProviderTotal Paid
11902461270$32K
21780842351$13K
31447454137$13K
41114945037$11K
51447649249$11K
61164440152$10K
71487045530$10K
81982871729$10K
91164574083$9K
101831400795$9K
111740793090$9K
121124474606$9K
131891806329$8K
141245315456$7K
151063422756$7K
161558646620$7K
171568495364$6K
181497700736$6K
191952465361$6K
201417192261$6K

Showing top 20 of 575 providers billing this code