90989
HCPCS Procedure Code
HCPCS code 90989 is the #7,151 most-billed Medicaid procedure code, with $27K in payments across 284 claims from 2018–2024. The national median cost per claim is $53.69. Costs vary widely — the 90th percentile is $371.06 per claim, 6.9× the median.
Total Paid
$27K
0.00% of all spending
Total Claims
284
Providers
3
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for 90989? Based on 3 providers billing this code nationally.
Median
$53.69
Average
$169.17
Std Dev
$244.85
Max
$450.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.56 and $252.05 per claim for this code.
90% bill between $13.48 and $371.06.
Top 1% bill above $442.47.
About This Procedure
HCPCS code 90989 was billed by 3 providers across 284 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 139 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.69
Providers Billing
3
National Spending
$27K
Avg/Median Ratio
3.15×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.