90785
HCPCS Procedure Code
HCPCS code 90785 is the #871 most-billed Medicaid procedure code, with $64.7M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $6.43.
Total Paid
$64.7M
0.01% of all spending
Total Claims
8.1M
Providers
4K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 90785? Based on 4K providers billing this code nationally.
Median
$6.43
Average
$7.37
Std Dev
$14.99
Max
$678.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.13 and $9.85 per claim for this code.
90% bill between $1.55 and $11.94.
Top 1% bill above $28.84.
About This Procedure
HCPCS code 90785 was billed by 4K providers across 8.1M claims, totaling $64.7M in Medicaid payments from 2018–2024. This code was used for 4.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.43
Providers Billing
4K
National Spending
$64.7M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90785
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nystrom & Associates, Ltd New Brighton, MN · Marriage & Family Therapist | $2.6M |
| 2 | 1629022330 | $1.5M |
| 3 | 1134278518 | $1.2M |
| 4 | 1205893070 | $1.2M |
| 5 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $1.0M |
| 6 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $1.0M |
| 7 | Fraser Child And Family Center Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center) | $992K |
| 8 | 1326589722 | $981K |
| 9 | 1588741292 | $980K |
| 10 | 1811949209 | $968K |
| 11 | Genesee Health System Flint, MI · Community/Behavioral Health | $949K |
| 12 | 1215947809 | $749K |
| 13 | 1982672028 | $740K |
| 14 | 1639127822 | $681K |
| 15 | 1841268281 | $561K |
| 16 | 1922105147 | $557K |
| 17 | Ohioguidestone Berea, OH · Community/Behavioral Health | $555K |
| 18 | 1568492353 | $539K |
| 19 | Viaquest Psychiatric & Behavioral Solutions Llc Dublin, OH · Community/Behavioral Health | $482K |
| 20 | 1639128176 | $467K |
Showing top 20 of 4K providers billing this code