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#4529 of 11K

90687

HCPCS Procedure Code

HCPCS code 90687 is the #4,529 most-billed Medicaid procedure code, with $530K in payments across 142K claims from 2018–2024. The national median cost per claim is $3.45. Costs vary widely — the 90th percentile is $16.71 per claim, 4.8× the median.

Total Paid

$530K

0.00% of all spending

Total Claims

142K

Providers

890

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 90687? Based on 436 providers billing this code nationally.

Median

$3.45

Average

$6.06

Std Dev

$6.89

Max

$51.67

Percentile Distribution (Cost per Claim)

p10
$0.06
p25
$0.52
Median
$3.45
p75
$9.80
p90
$16.71
p95
$19.59
p99
$22.99

50% of providers bill between $0.52 and $9.80 per claim for this code.

90% bill between $0.06 and $16.71.

Top 1% bill above $22.99.

About This Procedure

HCPCS code 90687 was billed by 890 providers across 142K claims, totaling $530K in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.45

Providers Billing

436

National Spending

$530K

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90687

#ProviderTotal Paid
11376508788$134K
21245312842$28K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$22K
41528002391$18K
51114968583$18K
61457411043$12K
71740329507$11K
81184771636$10K
91245224807$10K
101821000555$8K
111497700736$8K
121104054345$7K
131306873500$7K
141528580404$7K
151356401921$6K
161295999852$6K
171043366446$6K
181134286248$6K
19Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$5K
201851305510$5K

Showing top 20 of 890 providers billing this code