#4800 of 11K

90747

HCPCS Procedure Code

HCPCS code 90747 is the #4,800 most-billed Medicaid procedure code, with $396K in payments across 12K claims from 2018–2024. The national median cost per claim is $36.38. Costs vary widely — the 90th percentile is $104.66 per claim, 2.9× the median.

Total Paid

$396K

0.00% of all spending

Total Claims

12K

Providers

160

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 90747? Based on 113 providers billing this code nationally.

Median

$36.38

Average

$47.69

Std Dev

$39.43

Max

$206.31

Percentile Distribution (Cost per Claim)

p10

$7.38

p25

$16.37

Median

$36.38

p75

$68.24

p90

$104.66

p95

$123.10

p99

$140.15

50% of providers bill between $16.37 and $68.24 per claim for this code.

90% bill between $7.38 and $104.66.

Top 1% bill above $140.15.

About This Procedure

HCPCS code 90747 was billed by 160 providers across 12K claims, totaling $396K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.38

Providers Billing

113

National Spending

$396K

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90747

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1992838015	$44K	$14.53	0.4× median	Below Median
2	1245350040	$40K	$63.42	1.7× median	Above Median
3	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$26K	$31.54	0.9× median	Below Median
4	1861513996	$20K	$37.20	1.0× median	Above Median
5	1730209545	$19K	$116.08	3.2× median	Top 10%
6	Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural	$18K	$69.64	1.9× median	Above 75th
7	1659314607	$13K	$132.58	3.6× median	Top 10%
8	1871596916	$11K	$58.01	1.6× median	Above Median
9	1720277866	$10K	$85.58	2.4× median	Above 75th
10	1336102433	$9K	$59.75	1.6× median	Above Median
11	1952757627	$8K	$116.97	3.2× median	Top 10%
12	1710137534	$8K	$100.29	2.8× median	Above 75th
13	1194930693	$8K	$84.53	2.3× median	Above 75th
14	Laurel Canyon Dialysis Llc Sun Valley, CA · Clinic/Center End-Stage Renal Disease (ESRD) Treatment	$8K	$45.38	1.2× median	Above Median
15	1982643961	$7K	$122.05	3.4× median	Top 10%
16	1689794489	$7K	$58.48	1.6× median	Above Median
17	1720625379	$7K	$67.57	1.9× median	Above Median
18	1447252457	$6K	$135.71	3.7× median	Top 10%
19	1205921616	$6K	$59.71	1.6× median	Above Median
20	Hartford Hospital Hartford, CT · General Acute Care Hospital	$6K	$97.06	2.7× median	Above 75th

Showing top 20 of 160 providers billing this code

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90750$31.1M 90746Hepatitis B vaccine, adult$15.6M 90756Influenza virus vaccine, quadrivalent$11.4M 90739$10.1M 90744$10.0M

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