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#4226 of 11K

90875

HCPCS Procedure Code

HCPCS code 90875 is the #4,226 most-billed Medicaid procedure code, with $736K in payments across 21K claims from 2018–2024. The national median cost per claim is $41.70.

Total Paid

$736K

0.00% of all spending

Total Claims

21K

Providers

45

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 90875? Based on 25 providers billing this code nationally.

Median

$41.70

Average

$38.79

Std Dev

$23.90

Max

$102.67

Percentile Distribution (Cost per Claim)

p10
$2.10
p25
$23.95
Median
$41.70
p75
$54.29
p90
$59.53
p95
$60.01
p99
$92.46

50% of providers bill between $23.95 and $54.29 per claim for this code.

90% bill between $2.10 and $59.53.

Top 1% bill above $92.46.

About This Procedure

HCPCS code 90875 was billed by 45 providers across 21K claims, totaling $736K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.70

Providers Billing

25

National Spending

$736K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90875

#ProviderTotal Paid
11912596685$212K
21659728012$147K
31720481443$50K
41063466498$43K
51215569405$43K
61508309162$31K
71821634361$28K
81730789025$28K
91447512546$28K
101396339339$27K
111326462599$26K
121801376108$23K
131447349071$11K
141386238590$9K
151639768245$6K
161164429460$5K
171154320646$4K
181912389859$4K
191841513744$3K
201114377702$3K

Showing top 20 of 45 providers billing this code