90804
HCPCS Procedure Code
HCPCS code 90804 is the #3,520 most-billed Medicaid procedure code, with $1.6M in payments across 17K claims from 2018–2024. The national median cost per claim is $95.24.
Total Paid
$1.6M
0.00% of all spending
Total Claims
17K
Providers
3
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for 90804? Based on 1 providers billing this code nationally.
Median
$95.24
Average
$95.24
Std Dev
—
Max
$95.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $95.24 and $95.24 per claim for this code.
90% bill between $95.24 and $95.24.
Top 1% bill above $95.24.
About This Procedure
HCPCS code 90804 was billed by 3 providers across 17K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.24
Providers Billing
1
National Spending
$1.6M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.