90678
HCPCS Procedure Code
HCPCS code 90678 is the #3,540 most-billed Medicaid procedure code, with $1.5M in payments across 18K claims from 2018–2024. The national median cost per claim is $89.09. Costs vary widely — the 90th percentile is $293.93 per claim, 3.3× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
18K
Providers
243
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 90678? Based on 190 providers billing this code nationally.
Median
$89.09
Average
$123.56
Std Dev
$115.49
Max
$421.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.62 and $226.26 per claim for this code.
90% bill between $5.41 and $293.93.
Top 1% bill above $372.72.
About This Procedure
HCPCS code 90678 was billed by 243 providers across 18K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.09
Providers Billing
190
National Spending
$1.5M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90678
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $127K |
| 2 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $82K |
| 3 | 1831116441 | $71K |
| 4 | 1003985755 | $68K |
| 5 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $62K |
| 6 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $59K |
| 7 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $59K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $42K |
| 9 | Mount Sinai Hospital New York, NY · Ambulance | $33K |
| 10 | 1548294424 | $32K |
| 11 | 1508012527 | $30K |
| 12 | 1093090342 | $29K |
| 13 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $29K |
| 14 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $27K |
| 15 | 1952330649 | $26K |
| 16 | Mainehealth Portland, ME · Emergency Medicine | $25K |
| 17 | 1437191194 | $23K |
| 18 | Barrio Comprehensive Family Health Care Center, Inc. San Antonio, TX · Clinic/Center, Multi-Specialty | $23K |
| 19 | 1639111057 | $22K |
| 20 | 1972528032 | $21K |
Showing top 20 of 243 providers billing this code