90691
HCPCS Procedure Code
HCPCS code 90691 is the #3,057 most-billed Medicaid procedure code, with $2.6M in payments across 44K claims from 2018–2024. The national median cost per claim is $60.44.
Total Paid
$2.6M
0.00% of all spending
Total Claims
44K
Providers
118
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for 90691? Based on 103 providers billing this code nationally.
Median
$60.44
Average
$59.66
Std Dev
$41.99
Max
$146.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.28 and $95.04 per claim for this code.
90% bill between $7.55 and $115.76.
Top 1% bill above $143.81.
About This Procedure
HCPCS code 90691 was billed by 118 providers across 44K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.44
Providers Billing
103
National Spending
$2.6M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90691
| # | Provider | Total Paid |
|---|---|---|
| 1 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $1.1M |
| 2 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $343K |
| 3 | 1447442132 | $88K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $82K |
| 5 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $81K |
| 6 | 1912161134 | $76K |
| 7 | 1467717413 | $66K |
| 8 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $63K |
| 9 | Children's Hospital Corporation Boston, MA · Clinic/Center | $61K |
| 10 | 1881696490 | $53K |
| 11 | 1922074434 | $51K |
| 12 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $51K |
| 13 | 1649462508 | $50K |
| 14 | 1720017528 | $37K |
| 15 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $34K |
| 16 | 1013951656 | $25K |
| 17 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $25K |
| 18 | 1578514733 | $23K |
| 19 | Centracare Clinic Southwest Llc Willmar, MN · Clinic/Center, Multi-Specialty | $21K |
| 20 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $16K |
Showing top 20 of 118 providers billing this code