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#847 of 11K

90677

HCPCS Procedure Code

HCPCS code 90677 is the #847 most-billed Medicaid procedure code, with $68.0M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $12.96. Costs vary widely — the 90th percentile is $127.18 per claim, 9.8× the median.

Total Paid

$68.0M

0.01% of all spending

Total Claims

2.8M

Providers

7K

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 90677? Based on 5K providers billing this code nationally.

Median

$12.96

Average

$40.77

Std Dev

$65.03

Max

$622.92

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$2.28
Median
$12.96
p75
$47.53
p90
$127.18
p95
$194.01
p99
$275.71

50% of providers bill between $2.28 and $47.53 per claim for this code.

90% bill between $0.01 and $127.18.

Top 1% bill above $275.71.

About This Procedure

HCPCS code 90677 was billed by 7K providers across 2.8M claims, totaling $68.0M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.96

Providers Billing

5K

National Spending

$68.0M

Avg/Median Ratio

3.15×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90677

#ProviderTotal Paid
1Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$2.9M
2The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$2.0M
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$1.7M
4Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$1.2M
5Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$1.1M
61144268277$846K
71003985755$719K
8City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$563K
9Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$561K
101023122967$520K
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$519K
12Mount Sinai Hospital

New York, NY · Ambulance

$505K
13Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$496K
14Vanderbilt University Medical Center

Nashville, TN · Psychiatric Unit

$463K
151851821565$456K
161639111057$437K
171033138250$412K
181710945969$407K
191508012527$407K
201770933939$393K

Showing top 20 of 7K providers billing this code