99090
HCPCS Procedure Code
HCPCS code 99090 is the #3,847 most-billed Medicaid procedure code, with $1.1M in payments across 14K claims from 2018–2024. The national median cost per claim is $7.47. Costs vary widely — the 90th percentile is $73.44 per claim, 9.8× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
14K
Providers
11
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for 99090? Based on 3 providers billing this code nationally.
Median
$7.47
Average
$33.06
Std Dev
$49.33
Max
$89.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.63 and $48.70 per claim for this code.
90% bill between $2.92 and $73.44.
Top 1% bill above $88.29.
About This Procedure
HCPCS code 99090 was billed by 11 providers across 14K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.47
Providers Billing
3
National Spending
$1.1M
Avg/Median Ratio
4.43×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99090
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962601393 | $1.1M |
| 2 | 1447283270 | $2K |
| 3 | 1912073933 | $217 |
| 4 | 1255323721 | $0 |
| 5 | 1245253160 | $0 |
| 6 | 1568693554 | $0 |
| 7 | 1407801194 | $0 |
| 8 | 1770880924 | $0 |
| 9 | 1225218068 | $0 |
| 10 | 1407823495 | $0 |
| 11 | 1336137280 | $0 |
Showing top 11 of 11 providers billing this code