90889
HCPCS Procedure Code
HCPCS code 90889 is the #2,826 most-billed Medicaid procedure code, with $3.5M in payments across 42K claims from 2018–2024. The national median cost per claim is $56.63. Costs vary widely — the 90th percentile is $200.01 per claim, 3.5× the median.
Total Paid
$3.5M
0.00% of all spending
Total Claims
42K
Providers
144
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for 90889? Based on 70 providers billing this code nationally.
Median
$56.63
Average
$97.87
Std Dev
$71.29
Max
$230.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.10 and $173.63 per claim for this code.
90% bill between $19.28 and $200.01.
Top 1% bill above $228.05.
About This Procedure
HCPCS code 90889 was billed by 144 providers across 42K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.63
Providers Billing
70
National Spending
$3.5M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 90889
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447345145 | $655K |
| 2 | 1710487046 | $491K |
| 3 | 1114694098 | $322K |
| 4 | 1194996280 | $285K |
| 5 | Rappahannock Area Community Services Board Fredericksburg, VA · Day Training, Developmentally Disabled Services | $175K |
| 6 | 1710070545 | $174K |
| 7 | 1437137734 | $137K |
| 8 | 1972093987 | $136K |
| 9 | 1881780872 | $135K |
| 10 | Mount Rogers Community Services Wytheville, VA · Clinic/Center Mental Health (Including Community Mental Health Center) | $105K |
| 11 | 1942270699 | $78K |
| 12 | 1649697657 | $75K |
| 13 | 1124780549 | $74K |
| 14 | 1740413434 | $54K |
| 15 | 1487047007 | $49K |
| 16 | 1528154556 | $48K |
| 17 | 1205472834 | $42K |
| 18 | 1518191337 | $36K |
| 19 | 1124141163 | $34K |
| 20 | 1609209832 | $34K |
Showing top 20 of 144 providers billing this code