90870
HCPCS Procedure Code
HCPCS code 90870 is the #1,087 most-billed Medicaid procedure code, with $42.0M in payments across 258K claims from 2018–2024. The national median cost per claim is $68.07. Costs vary widely — the 90th percentile is $331.59 per claim, 4.9× the median.
Total Paid
$42.0M
0.00% of all spending
Total Claims
258K
Providers
233
Avg Cost/Claim
$163
National Cost Distribution
How much do providers bill per claim for 90870? Based on 224 providers billing this code nationally.
Median
$68.07
Average
$119.78
Std Dev
$132.06
Max
$627.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.70 and $163.15 per claim for this code.
90% bill between $19.68 and $331.59.
Top 1% bill above $565.78.
About This Procedure
HCPCS code 90870 was billed by 233 providers across 258K claims, totaling $42.0M in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$68.07
Providers Billing
224
National Spending
$42.0M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 90870
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $7.1M |
| 2 | 1760623888 | $3.8M |
| 3 | 1538185475 | $3.7M |
| 4 | 1750466892 | $3.4M |
| 5 | 1154876985 | $1.9M |
| 6 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $1.6M |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.2M |
| 8 | Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center | $1.1M |
| 9 | 1215022157 | $1.1M |
| 10 | 1427283795 | $846K |
| 11 | 1982672762 | $805K |
| 12 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $742K |
| 13 | Mainehealth Portland, ME · Emergency Medicine | $739K |
| 14 | 1801835970 | $711K |
| 15 | 1386179711 | $677K |
| 16 | 1225039399 | $653K |
| 17 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $557K |
| 18 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $550K |
| 19 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $507K |
| 20 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $421K |
Showing top 20 of 233 providers billing this code