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#1181 of 11K

90806

HCPCS Procedure Code

HCPCS code 90806 is the #1,181 most-billed Medicaid procedure code, with $35.0M in payments across 28K claims from 2018–2024. The national median cost per claim is $268.15. Costs vary widely — the 90th percentile is $3,082.24 per claim, 11.5× the median.

Total Paid

$35.0M

0.00% of all spending

Total Claims

28K

Providers

6

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 90806? Based on 4 providers billing this code nationally.

Median

$268.15

Average

$1,196.19

Std Dev

$2,039.84

Max

$4,247.92

Percentile Distribution (Cost per Claim)

p10
$52.58
p25
$130.63
Median
$268.15
p75
$1,333.71
p90
$3,082.24
p95
$3,665.08
p99
$4,131.35

50% of providers bill between $130.63 and $1,333.71 per claim for this code.

90% bill between $52.58 and $3,082.24.

Top 1% bill above $4,131.35.

About This Procedure

HCPCS code 90806 was billed by 6 providers across 28K claims, totaling $35.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$268.15

Providers Billing

4

National Spending

$35.0M

Avg/Median Ratio

4.46×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90806

#ProviderTotal Paid
11922171305$27.3M
21881638658$7.6M
31982709846$33K
41659371763$11
51588732747$0
61417378597$0

Showing top 6 of 6 providers billing this code