#3736 of 11K

00145

HCPCS Procedure Code

HCPCS code 00145 is the #3,736 most-billed Medicaid procedure code, with $1.3M in payments across 12K claims from 2018–2024. The national median cost per claim is $88.13. Costs vary widely — the 90th percentile is $221.67 per claim, 2.5× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for 00145? Based on 75 providers billing this code nationally.

Median

$88.13

Average

$113.94

Std Dev

$76.31

Max

$325.59

Percentile Distribution (Cost per Claim)

p10

$49.75

p25

$64.39

Median

$88.13

p75

$142.33

p90

$221.67

p95

$296.44

p99

$317.65

50% of providers bill between $64.39 and $142.33 per claim for this code.

90% bill between $49.75 and $221.67.

Top 1% bill above $317.65.

About This Procedure

HCPCS code 00145 was billed by 76 providers across 12K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$88.13

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00145

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1598277832	$229K	$229.92	2.6× median	Top 10%
2	1871986372	$80K	$71.99	0.8× median	Below Median
3	1093767766	$73K	$85.83	1.0× median	Below Median
4	1912999343	$58K	$169.43	1.9× median	Above 75th
5	1659748069	$58K	$325.59	3.7× median	Top 1%
6	1053354233	$53K	$314.87	3.6× median	Top 10%
7	1740436773	$50K	$266.28	3.0× median	Top 10%
8	1972126209	$48K	$75.56	0.9× median	Below Median
9	1023063187	$47K	$178.07	2.0× median	Above 75th
10	1558314427	$45K	$110.13	1.2× median	Above Median
11	1487609475	$44K	$62.25	0.7× median	Below Median
12	1528010428	$39K	$72.06	0.8× median	Below Median
13	1619452901	$29K	$209.30	2.4× median	Above 75th
14	1538424908	$27K	$66.04	0.7× median	Below Median
15	1346267267	$27K	$118.46	1.3× median	Above Median
16	1740295120	$25K	$118.70	1.3× median	Above Median
17	1417994872	$22K	$88.13	1.0× median	Above Median
18	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$18K	$134.53	1.5× median	Above Median
19	1760646558	$17K	$94.15	1.1× median	Above Median
20	1023010675	$14K	$110.49	1.3× median	Above Median

Showing top 20 of 76 providers billing this code

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