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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942854583 | $1.0M |
| 2 | 1700357233 | $950K |
| 3 | 1679524789 | $763K |
| 4 | 1790114015 | $744K |
| 5 | 1396276432 | $630K |
| 6 | 1487231254 | $579K |
| 7 | 1073908281 | $490K |
| 8 | 1669729711 | $324K |
| 9 | 1386690006 | $304K |
| 10 | 1487107363 | $268K |
| 11 | 1851998181 | $265K |
| 12 | 1750901088 | $261K |
| 13 | 1396781258 | $260K |
| 14 | 1801414602 | $258K |
| 15 | 1104458769 | $242K |
| 16 | 1104464460 | $234K |
| 17 | 1851937999 | $228K |
| 18 | 1285273920 | $227K |
| 19 | 1801949706 | $224K |
| 20 | 1972731479 | $213K |
Showing top 20 of 652 providers billing this code