90670
HCPCS Procedure Code
HCPCS code 90670 is the #621 most-billed Medicaid procedure code, with $122.9M in payments across 19.3M claims from 2018–2024. The national median cost per claim is $5.94. Costs vary widely — the 90th percentile is $22.27 per claim, 3.7× the median.
Total Paid
$122.9M
0.01% of all spending
Total Claims
19.3M
Providers
15K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 90670? Based on 10K providers billing this code nationally.
Median
$5.94
Average
$11.84
Std Dev
$24.67
Max
$549.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.12 and $12.90 per claim for this code.
90% bill between $0.11 and $22.27.
Top 1% bill above $153.77.
About This Procedure
HCPCS code 90670 was billed by 15K providers across 19.3M claims, totaling $122.9M in Medicaid payments from 2018–2024. This code was used for 17.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.94
Providers Billing
10K
National Spending
$122.9M
Avg/Median Ratio
1.99×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 90670
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $11.2M |
| 2 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $2.2M |
| 3 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $1.3M |
| 4 | 1710945969 | $1.3M |
| 5 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.0M |
| 6 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $980K |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $925K |
| 8 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $842K |
| 9 | 1376508788 | $791K |
| 10 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $689K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $591K |
| 12 | 1568901742 | $555K |
| 13 | 1528233103 | $543K |
| 14 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $511K |
| 15 | 1124105762 | $489K |
| 16 | 1689639312 | $483K |
| 17 | 1619923919 | $483K |
| 18 | 1669404018 | $481K |
| 19 | 1134286248 | $475K |
| 20 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $452K |
Showing top 20 of 15K providers billing this code