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#1984 of 11K

90700

HCPCS Procedure Code

HCPCS code 90700 is the #1,984 most-billed Medicaid procedure code, with $10.5M in payments across 3.1M claims from 2018–2024. The national median cost per claim is $4.56. Costs vary widely — the 90th percentile is $16.75 per claim, 3.7× the median.

Total Paid

$10.5M

0.00% of all spending

Total Claims

3.1M

Providers

6K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 90700? Based on 3K providers billing this code nationally.

Median

$4.56

Average

$6.62

Std Dev

$7.50

Max

$118.80

Percentile Distribution (Cost per Claim)

p10
$0.09
p25
$0.71
Median
$4.56
p75
$10.53
p90
$16.75
p95
$19.82
p99
$25.05

50% of providers bill between $0.71 and $10.53 per claim for this code.

90% bill between $0.09 and $16.75.

Top 1% bill above $25.05.

About This Procedure

HCPCS code 90700 was billed by 6K providers across 3.1M claims, totaling $10.5M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.56

Providers Billing

3K

National Spending

$10.5M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90700

#ProviderTotal Paid
11134286248$479K
2Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$324K
31104917954$209K
41669404018$174K
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$157K
61568495364$144K
7Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$122K
81528002391$116K
91093152027$108K
101356746085$103K
11Mary Imogene Bassett Hospital

Cooperstown, NY · General Acute Care Hospital, Rural

$103K
121811528656$102K
131558428953$102K
141992990410$99K
151417910886$85K
161447374640$74K
171306946546$74K
181235176397$69K
191093855637$69K
20Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$67K

Showing top 20 of 6K providers billing this code