91035
HCPCS Procedure Code
HCPCS code 91035 is the #5,547 most-billed Medicaid procedure code, with $178K in payments across 956 claims from 2018–2024. The national median cost per claim is $100.84. Costs vary widely — the 90th percentile is $344.82 per claim, 3.4× the median.
Total Paid
$178K
0.00% of all spending
Total Claims
956
Providers
20
Avg Cost/Claim
$186
National Cost Distribution
How much do providers bill per claim for 91035? Based on 18 providers billing this code nationally.
Median
$100.84
Average
$147.05
Std Dev
$145.75
Max
$491.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.23 and $226.59 per claim for this code.
90% bill between $7.67 and $344.82.
Top 1% bill above $479.31.
About This Procedure
HCPCS code 91035 was billed by 20 providers across 956 claims, totaling $178K in Medicaid payments from 2018–2024. This code was used for 919 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$100.84
Providers Billing
18
National Spending
$178K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 91035
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215392030 | $116K |
| 2 | 1700821808 | $29K |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $6K |
| 4 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $4K |
| 5 | 1225053523 | $4K |
| 6 | 1154368116 | $4K |
| 7 | University Of Washington Seattle, WA · Clinic/Center, Dental | $3K |
| 8 | 1356390769 | $3K |
| 9 | 1154483022 | $3K |
| 10 | 1114483492 | $2K |
| 11 | 1740231448 | $863 |
| 12 | 1518360296 | $768 |
| 13 | 1831150119 | $570 |
| 14 | 1336137629 | $455 |
| 15 | 1295761963 | $446 |
| 16 | 1588721500 | $284 |
| 17 | 1285852095 | $185 |
| 18 | 1760476659 | $132 |
| 19 | 1467433763 | $0 |
| 20 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $0 |
Showing top 20 of 20 providers billing this code