90656
HCPCS Procedure Code
HCPCS code 90656 is the #1,648 most-billed Medicaid procedure code, with $17.0M in payments across 2.9M claims from 2018–2024. The national median cost per claim is $8.67. Costs vary widely — the 90th percentile is $20.34 per claim, 2.3× the median.
Total Paid
$17.0M
0.00% of all spending
Total Claims
2.9M
Providers
12K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 90656? Based on 8K providers billing this code nationally.
Median
$8.67
Average
$10.11
Std Dev
$12.69
Max
$582.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.14 and $16.71 per claim for this code.
90% bill between $0.33 and $20.34.
Top 1% bill above $32.30.
About This Procedure
HCPCS code 90656 was billed by 12K providers across 2.9M claims, totaling $17.0M in Medicaid payments from 2018–2024. This code was used for 2.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.67
Providers Billing
8K
National Spending
$17.0M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90656
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $781K |
| 2 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $550K |
| 3 | 1851821565 | $277K |
| 4 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $179K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $138K |
| 6 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $117K |
| 7 | 1740345693 | $100K |
| 8 | 1508012527 | $98K |
| 9 | 1023122967 | $98K |
| 10 | 1376949503 | $94K |
| 11 | 1649217175 | $91K |
| 12 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $89K |
| 13 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $77K |
| 14 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $76K |
| 15 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $70K |
| 16 | 1437231693 | $68K |
| 17 | 1144300476 | $67K |
| 18 | 1710945969 | $67K |
| 19 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $65K |
| 20 | 1760599724 | $65K |
Showing top 20 of 12K providers billing this code