90694
HCPCS Procedure Code
HCPCS code 90694 is the #3,516 most-billed Medicaid procedure code, with $1.6M in payments across 168K claims from 2018–2024. The national median cost per claim is $6.60. Costs vary widely — the 90th percentile is $44.19 per claim, 6.7× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
168K
Providers
1,846
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 90694? Based on 825 providers billing this code nationally.
Median
$6.60
Average
$15.85
Std Dev
$23.65
Max
$295.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.15 and $19.43 per claim for this code.
90% bill between $0.60 and $44.19.
Top 1% bill above $104.98.
About This Procedure
HCPCS code 90694 was billed by 1,846 providers across 168K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 158K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.60
Providers Billing
825
National Spending
$1.6M
Avg/Median Ratio
2.40×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90694
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $291K |
| 2 | Homeland Health Specialists Inc Minneapolis, MN · Registered Nurse, Community Health | $60K |
| 3 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $55K |
| 4 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $53K |
| 5 | Mount Sinai Hospital New York, NY · Ambulance | $40K |
| 6 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $30K |
| 7 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $26K |
| 8 | 1881618544 | $23K |
| 9 | 1356885875 | $20K |
| 10 | 1740570696 | $19K |
| 11 | 1265595268 | $18K |
| 12 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $16K |
| 13 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $16K |
| 14 | 1700886322 | $14K |
| 15 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $14K |
| 16 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $14K |
| 17 | Southern California Permanente Medical Group Bellflower, CA · Health Maintenance Organization | $13K |
| 18 | 1780049189 | $13K |
| 19 | 1639111057 | $13K |
| 20 | 1912435173 | $12K |
Showing top 20 of 1,846 providers billing this code