#1670 of 11K

90962

HCPCS Procedure Code

HCPCS code 90962 is the #1,670 most-billed Medicaid procedure code, with $16.4M in payments across 214K claims from 2018–2024. The national median cost per claim is $40.91. Costs vary widely — the 90th percentile is $118.33 per claim, 2.9× the median.

Total Paid

$16.4M

0.00% of all spending

Total Claims

214K

Providers

669

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for 90962? Based on 646 providers billing this code nationally.

Median

$40.91

Average

$58.48

Std Dev

$65.56

Max

$663.36

Percentile Distribution (Cost per Claim)

p10

$11.78

p25

$24.77

Median

$40.91

p75

$74.25

p90

$118.33

p95

$141.33

p99

$422.89

50% of providers bill between $24.77 and $74.25 per claim for this code.

90% bill between $11.78 and $118.33.

Top 1% bill above $422.89.

About This Procedure

HCPCS code 90962 was billed by 669 providers across 214K claims, totaling $16.4M in Medicaid payments from 2018–2024. This code was used for 198K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.91

Providers Billing

646

National Spending

$16.4M

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90962

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Permanente Medical Group Inc Stockton, CA · Anesthesiology	$3.4M	$375.79	9.2× median	Top 10%
2	Permanente Medical Group Inc Richmond, CA · Internal Medicine	$925K	$487.88	11.9× median	Top 1%
3	1790824530	$669K	$663.36	16.2× median	Top 1%
4	1316902208	$535K	$91.00	2.2× median	Above 75th
5	1659537264	$443K	$68.86	1.7× median	Above Median
6	1952413759	$396K	$482.91	11.8× median	Top 1%
7	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$372K	$535.31	13.1× median	Top 1%
8	1669846986	$298K	$105.02	2.6× median	Above 75th
9	1588721500	$287K	$20.26	0.5× median	Below Median
10	1235150400	$276K	$37.02	0.9× median	Below Median
11	1629010228	$274K	$57.47	1.4× median	Above Median
12	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$255K	$74.29	1.8× median	Above 75th
13	1841373800	$198K	$550.49	13.5× median	Top 1%
14	1083653752	$196K	$77.90	1.9× median	Above 75th
15	1033261276	$189K	$53.00	1.3× median	Above Median
16	1962454140	$186K	$126.97	3.1× median	Top 10%
17	Permanente Medical Group Inc Vallejo, CA · Anesthesiology	$165K	$76.25	1.9× median	Above 75th
18	1437599032	$156K	$128.48	3.1× median	Top 10%
19	1932387479	$153K	$89.21	2.2× median	Above 75th
20	1659316008	$148K	$79.07	1.9× median	Above 75th

Showing top 20 of 669 providers billing this code

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