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#2010 of 11K

90739

HCPCS Procedure Code

HCPCS code 90739 is the #2,010 most-billed Medicaid procedure code, with $10.1M in payments across 172K claims from 2018–2024. The national median cost per claim is $74.43.

Total Paid

$10.1M

0.00% of all spending

Total Claims

172K

Providers

493

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 90739? Based on 335 providers billing this code nationally.

Median

$74.43

Average

$73.86

Std Dev

$60.48

Max

$442.90

Percentile Distribution (Cost per Claim)

p10
$3.43
p25
$18.78
Median
$74.43
p75
$119.71
p90
$145.36
p95
$153.35
p99
$190.04

50% of providers bill between $18.78 and $119.71 per claim for this code.

90% bill between $3.43 and $145.36.

Top 1% bill above $190.04.

About This Procedure

HCPCS code 90739 was billed by 493 providers across 172K claims, totaling $10.1M in Medicaid payments from 2018–2024. This code was used for 157K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.43

Providers Billing

335

National Spending

$10.1M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90739

#ProviderTotal Paid
1The Arizona Partnership For Immunization

Phoenix, AZ · Local Education Agency (LEA)

$997K
2Brockton Neighborhood Health Center

Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)

$440K
31427176569$421K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$401K
5Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$365K
6Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$362K
71841200664$342K
81003985755$341K
9Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$315K
101245234673$295K
111770709149$264K
12Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$251K
13City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$238K
141881645158$215K
151922105154$199K
161699726786$186K
171659476356$142K
181578625661$138K
19Mainehealth

Portland, ME · Emergency Medicine

$130K
201396749941$127K

Showing top 20 of 493 providers billing this code