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#7227 of 11K

00045

HCPCS Procedure Code

HCPCS code 00045 is the #7,227 most-billed Medicaid procedure code, with $24K in payments across 719 claims from 2018–2024. The national median cost per claim is $38.20.

Total Paid

$24K

0.00% of all spending

Total Claims

719

Providers

2

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 00045? Based on 2 providers billing this code nationally.

Median

$38.20

Average

$38.20

Std Dev

$8.21

Max

$44.00

Percentile Distribution (Cost per Claim)

p10
$33.55
p25
$35.29
Median
$38.20
p75
$41.10
p90
$42.84
p95
$43.42
p99
$43.88

50% of providers bill between $35.29 and $41.10 per claim for this code.

90% bill between $33.55 and $42.84.

Top 1% bill above $43.88.

About This Procedure

HCPCS code 00045 was billed by 2 providers across 719 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 708 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.20

Providers Billing

2

National Spending

$24K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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