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#3540 of 11K

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)

p10
$5.41
p25
$18.62
Median
$89.09
p75
$226.26
p90
$293.93
p95
$319.11
p99
$372.72

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

#ProviderTotal Paid
1Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$127K
2Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$82K
31831116441$71K
41003985755$68K
5Regents Of The University Of Michigan

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

$62K
6Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$59K
7Bexar County Hospital District

San Antonio, TX · Clinical Medical Laboratory

$59K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$42K
9Mount Sinai Hospital

New York, NY · Ambulance

$33K
101548294424$32K
111508012527$30K
121093090342$29K
13Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$29K
14Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$27K
151952330649$26K
16Mainehealth

Portland, ME · Emergency Medicine

$25K
171437191194$23K
18Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX · Clinic/Center, Multi-Specialty

$23K
191639111057$22K
201972528032$21K

Showing top 20 of 243 providers billing this code