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#1458 of 11K

90838

Psychotherapy, 60 min, add-on to E/M

Psychotherapy, 60 min, add-on to E/M is the #1,458 most-billed Medicaid procedure code, with $22.6M in payments across 336K claims from 2018–2024. The national median cost per claim is $67.05.

Total Paid

$22.6M

0.00% of all spending

Total Claims

336K

Providers

652

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for 90838? Based on 604 providers billing this code nationally.

Median

$67.05

Average

$72.79

Std Dev

$71.08

Max

$1,378.58

Percentile Distribution (Cost per Claim)

p10
$23.25
p25
$45.52
Median
$67.05
p75
$90.61
p90
$111.76
p95
$133.08
p99
$195.79

50% of providers bill between $45.52 and $90.61 per claim for this code.

90% bill between $23.25 and $111.76.

Top 1% bill above $195.79.

About This Procedure

HCPCS code 90838 (Psychotherapy, 60 min, add-on to E/M) was billed by 652 providers across 336K claims, totaling $22.6M in Medicaid payments from 2018–2024. This code was used for 233K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.05

Providers Billing

604

National Spending

$22.6M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90838

#ProviderTotal Paid
11942854583$1.0M
21700357233$950K
31679524789$763K
41790114015$744K
51396276432$630K
61487231254$579K
71073908281$490K
81669729711$324K
91386690006$304K
101487107363$268K
111851998181$265K
121750901088$261K
131396781258$260K
141801414602$258K
151104458769$242K
161104464460$234K
171851937999$228K
181285273920$227K
191801949706$224K
201972731479$213K

Showing top 20 of 652 providers billing this code