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#3520 of 11K

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)

p10
$95.24
p25
$95.24
Median
$95.24
p75
$95.24
p90
$95.24
p95
$95.24
p99
$95.24

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.