90688
HCPCS Procedure Code
HCPCS code 90688 is the #1,338 most-billed Medicaid procedure code, with $26.7M in payments across 3.8M claims from 2018–2024. The national median cost per claim is $9.00. Costs vary widely — the 90th percentile is $18.47 per claim, 2.1× the median.
Total Paid
$26.7M
0.00% of all spending
Total Claims
3.8M
Providers
12K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 90688? Based on 9K providers billing this code nationally.
Median
$9.00
Average
$10.52
Std Dev
$17.39
Max
$466.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.75 and $14.78 per claim for this code.
90% bill between $0.46 and $18.47.
Top 1% bill above $40.10.
About This Procedure
HCPCS code 90688 was billed by 12K providers across 3.8M claims, totaling $26.7M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.00
Providers Billing
9K
National Spending
$26.7M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90688
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $726K |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $674K |
| 3 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $403K |
| 4 | 1649339581 | $348K |
| 5 | 1376508788 | $335K |
| 6 | 1003985755 | $247K |
| 7 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $217K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $194K |
| 9 | 1689009854 | $183K |
| 10 | 1245312842 | $182K |
| 11 | 1245234673 | $150K |
| 12 | 1912091018 | $149K |
| 13 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $143K |
| 14 | 1598821027 | $134K |
| 15 | 1144275777 | $125K |
| 16 | 1891726378 | $125K |
| 17 | Utah Navajo Health System, Incorporated Montezuma Creek, UT · Family Medicine | $123K |
| 18 | Neighborhood Health Center Of Wny Inc. Buffalo, NY · Obstetrics & Gynecology | $119K |
| 19 | 1700396652 | $118K |
| 20 | 1134202039 | $111K |
Showing top 20 of 12K providers billing this code