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#7171 of 11K

90912

HCPCS Procedure Code

HCPCS code 90912 is the #7,171 most-billed Medicaid procedure code, with $26K in payments across 1K claims from 2018–2024. The national median cost per claim is $45.06.

Total Paid

$26K

0.00% of all spending

Total Claims

1K

Providers

14

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 90912? Based on 12 providers billing this code nationally.

Median

$45.06

Average

$47.13

Std Dev

$40.95

Max

$146.31

Percentile Distribution (Cost per Claim)

p10
$2.17
p25
$20.49
Median
$45.06
p75
$69.29
p90
$74.33
p95
$106.96
p99
$138.44

50% of providers bill between $20.49 and $69.29 per claim for this code.

90% bill between $2.17 and $74.33.

Top 1% bill above $138.44.

About This Procedure

HCPCS code 90912 was billed by 14 providers across 1K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 700 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.06

Providers Billing

12

National Spending

$26K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90912

#ProviderTotal Paid
11255541520$10K
21497752091$4K
31063571883$3K
41508500828$3K
51730440777$2K
61487328506$1K
71215940796$1K
81922092295$924
91336245828$842
101316437718$469
111932216389$65
121669499414$55
131073827101$0
141750556270$0

Showing top 14 of 14 providers billing this code

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