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#3417 of 11K

90672

HCPCS Procedure Code

HCPCS code 90672 is the #3,417 most-billed Medicaid procedure code, with $1.7M in payments across 488K claims from 2018–2024. The national median cost per claim is $3.59. Costs vary widely — the 90th percentile is $19.01 per claim, 5.3× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

488K

Providers

2,337

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 90672? Based on 1,457 providers billing this code nationally.

Median

$3.59

Average

$6.81

Std Dev

$8.44

Max

$129.24

Percentile Distribution (Cost per Claim)

p10
$0.10
p25
$0.59
Median
$3.59
p75
$10.90
p90
$19.01
p95
$21.88
p99
$27.72

50% of providers bill between $0.59 and $10.90 per claim for this code.

90% bill between $0.10 and $19.01.

Top 1% bill above $27.72.

About This Procedure

HCPCS code 90672 was billed by 2,337 providers across 488K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 463K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.59

Providers Billing

1,457

National Spending

$1.7M

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90672

#ProviderTotal Paid
11568576056$138K
2The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$59K
3Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$47K
41922291996$33K
51538266994$32K
61881801835$26K
71497187843$23K
81750443503$22K
9The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$19K
101629040878$18K
111083743538$17K
121619939691$16K
131124013230$16K
141003902610$15K
151518258912$15K
161942514435$15K
171033172390$13K
181154560415$13K
191093800534$12K
201427223783$11K

Showing top 20 of 2,337 providers billing this code