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#1351 of 11K

90734

HCPCS Procedure Code

HCPCS code 90734 is the #1,351 most-billed Medicaid procedure code, with $26.1M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $6.40. Costs vary widely — the 90th percentile is $23.68 per claim, 3.7× the median.

Total Paid

$26.1M

0.00% of all spending

Total Claims

4.2M

Providers

11K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 90734? Based on 7K providers billing this code nationally.

Median

$6.40

Average

$11.13

Std Dev

$21.28

Max

$1,146.24

Percentile Distribution (Cost per Claim)

p10
$0.19
p25
$1.48
Median
$6.40
p75
$14.75
p90
$23.68
p95
$33.74
p99
$90.66

50% of providers bill between $1.48 and $14.75 per claim for this code.

90% bill between $0.19 and $23.68.

Top 1% bill above $90.66.

About This Procedure

HCPCS code 90734 was billed by 11K providers across 4.2M claims, totaling $26.1M in Medicaid payments from 2018–2024. This code was used for 3.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.40

Providers Billing

7K

National Spending

$26.1M

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90734

#ProviderTotal Paid
1Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$671K
2Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$338K
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$272K
41356723605$255K
5Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$240K
6The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$169K
71548500713$158K
8Arkansas Childrens Hospital

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

$151K
9Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$146K
101376508788$137K
11Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$131K
12The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$128K
13United Health Services Hospitals, Inc.

Binghamton, NY · General Acute Care Hospital

$122K
141669404018$115K
151245234673$114K
161568901742$107K
171376949503$106K
18Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$104K
191558316109$103K
201619923919$102K

Showing top 20 of 11K providers billing this code