90869
HCPCS Procedure Code
HCPCS code 90869 is the #3,169 most-billed Medicaid procedure code, with $2.3M in payments across 7K claims from 2018–2024. The national median cost per claim is $363.42.
Total Paid
$2.3M
0.00% of all spending
Total Claims
7K
Providers
23
Avg Cost/Claim
$336
National Cost Distribution
How much do providers bill per claim for 90869? Based on 21 providers billing this code nationally.
Median
$363.42
Average
$327.60
Std Dev
$117.36
Max
$455.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $263.50 and $431.64 per claim for this code.
90% bill between $164.85 and $444.25.
Top 1% bill above $453.86.
About This Procedure
HCPCS code 90869 was billed by 23 providers across 7K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$363.42
Providers Billing
21
National Spending
$2.3M
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90869
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295266302 | $285K |
| 2 | 1336988831 | $252K |
| 3 | 1578258281 | $248K |
| 4 | 1467287391 | $235K |
| 5 | 1871372003 | $202K |
| 6 | 1740998202 | $195K |
| 7 | 1841928397 | $163K |
| 8 | 1437180478 | $156K |
| 9 | 1710415617 | $152K |
| 10 | 1972387256 | $147K |
| 11 | 1861272874 | $76K |
| 12 | 1255000386 | $60K |
| 13 | 1780428698 | $48K |
| 14 | 1669241535 | $24K |
| 15 | 1881287787 | $16K |
| 16 | 1598954687 | $13K |
| 17 | 1366290249 | $13K |
| 18 | 1548374960 | $8K |
| 19 | 1194098053 | $8K |
| 20 | 1942835798 | $8K |
Showing top 20 of 23 providers billing this code