90685
HCPCS Procedure Code
HCPCS code 90685 is the #2,792 most-billed Medicaid procedure code, with $3.6M in payments across 977K claims from 2018–2024. The national median cost per claim is $5.96. Costs vary widely — the 90th percentile is $17.66 per claim, 3.0× the median.
Total Paid
$3.6M
0.00% of all spending
Total Claims
977K
Providers
5,187
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 90685? Based on 2,732 providers billing this code nationally.
Median
$5.96
Average
$7.38
Std Dev
$10.62
Max
$270.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.01 and $10.54 per claim for this code.
90% bill between $0.16 and $17.66.
Top 1% bill above $27.17.
About This Procedure
HCPCS code 90685 was billed by 5,187 providers across 977K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 910K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.96
Providers Billing
2,732
National Spending
$3.6M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90685
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811091952 | $92K |
| 2 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $84K |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $74K |
| 4 | 1568576056 | $66K |
| 5 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $50K |
| 6 | 1922291996 | $48K |
| 7 | 1376593442 | $37K |
| 8 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $36K |
| 9 | 1235131632 | $35K |
| 10 | 1306873500 | $33K |
| 11 | 1245307693 | $33K |
| 12 | 1124105762 | $32K |
| 13 | 1710945969 | $32K |
| 14 | 1407877137 | $31K |
| 15 | 1790879971 | $27K |
| 16 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $27K |
| 17 | 1699087403 | $26K |
| 18 | 1811362908 | $25K |
| 19 | 1497841571 | $24K |
| 20 | Children's Hospital Corporation Boston, MA · Clinic/Center | $20K |
Showing top 20 of 5,187 providers billing this code