90657
HCPCS Procedure Code
HCPCS code 90657 is the #4,912 most-billed Medicaid procedure code, with $356K in payments across 137K claims from 2018–2024. The national median cost per claim is $2.90. Costs vary widely — the 90th percentile is $12.61 per claim, 4.3× the median.
Total Paid
$356K
0.00% of all spending
Total Claims
137K
Providers
765
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 90657? Based on 377 providers billing this code nationally.
Median
$2.90
Average
$5.06
Std Dev
$5.68
Max
$24.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.68 and $8.00 per claim for this code.
90% bill between $0.14 and $12.61.
Top 1% bill above $22.55.
About This Procedure
HCPCS code 90657 was billed by 765 providers across 137K claims, totaling $356K in Medicaid payments from 2018–2024. This code was used for 126K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.90
Providers Billing
377
National Spending
$356K
Avg/Median Ratio
1.74×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 90657
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982793345 | $19K |
| 2 | 1114192390 | $14K |
| 3 | 1063507747 | $13K |
| 4 | 1700886322 | $13K |
| 5 | 1033126107 | $13K |
| 6 | 1992990410 | $12K |
| 7 | 1063713295 | $12K |
| 8 | 1457397986 | $10K |
| 9 | 1598139883 | $9K |
| 10 | 1750632477 | $8K |
| 11 | 1457956948 | $7K |
| 12 | 1891124640 | $7K |
| 13 | 1740329507 | $7K |
| 14 | 1396808309 | $7K |
| 15 | 1871588079 | $6K |
| 16 | 1144250291 | $6K |
| 17 | 1013335546 | $6K |
| 18 | 1902975899 | $6K |
| 19 | 1053377366 | $5K |
| 20 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $5K |
Showing top 20 of 765 providers billing this code