90966
HCPCS Procedure Code
HCPCS code 90966 is the #1,895 most-billed Medicaid procedure code, with $12.0M in payments across 145K claims from 2018–2024. The national median cost per claim is $56.49. Costs vary widely — the 90th percentile is $131.79 per claim, 2.3× the median.
Total Paid
$12.0M
0.00% of all spending
Total Claims
145K
Providers
365
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for 90966? Based on 352 providers billing this code nationally.
Median
$56.49
Average
$70.58
Std Dev
$69.47
Max
$694.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.97 and $90.13 per claim for this code.
90% bill between $14.95 and $131.79.
Top 1% bill above $253.58.
About This Procedure
HCPCS code 90966 was billed by 365 providers across 145K claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 123K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.49
Providers Billing
352
National Spending
$12.0M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90966
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548639792 | $1.7M |
| 2 | 1316997505 | $732K |
| 3 | 1902846306 | $560K |
| 4 | 1609226877 | $466K |
| 5 | 1659316008 | $398K |
| 6 | 1962454140 | $364K |
| 7 | 1871699074 | $265K |
| 8 | 1376061572 | $263K |
| 9 | 1447200126 | $261K |
| 10 | 1275604183 | $257K |
| 11 | 1366550675 | $240K |
| 12 | 1235185729 | $222K |
| 13 | 1164644480 | $189K |
| 14 | 1083649651 | $188K |
| 15 | 1740392810 | $150K |
| 16 | 1154361616 | $143K |
| 17 | 1740291780 | $137K |
| 18 | 1407805203 | $131K |
| 19 | 1851631204 | $120K |
| 20 | 1831130723 | $118K |
Showing top 20 of 365 providers billing this code