Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4594 of 11K

45330

HCPCS Procedure Code

HCPCS code 45330 is the #4,594 most-billed Medicaid procedure code, with $497K in payments across 2,770 claims from 2018–2024. The national median cost per claim is $122.71. Costs vary widely — the 90th percentile is $419.34 per claim, 3.4× the median.

Total Paid

$497K

0.00% of all spending

Total Claims

2,770

Providers

25

Avg Cost/Claim

$179

National Cost Distribution

How much do providers bill per claim for 45330? Based on 25 providers billing this code nationally.

Median

$122.71

Average

$188.40

Std Dev

$216.74

Max

$861.62

Percentile Distribution (Cost per Claim)

p10
$26.93
p25
$61.99
Median
$122.71
p75
$236.29
p90
$419.34
p95
$663.13
p99
$825.70

50% of providers bill between $61.99 and $236.29 per claim for this code.

90% bill between $26.93 and $419.34.

Top 1% bill above $825.70.

About This Procedure

HCPCS code 45330 was billed by 25 providers across 2,770 claims, totaling $497K in Medicaid payments from 2018–2024. This code was used for 2,608 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$122.71

Providers Billing

25

National Spending

$497K

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 45330

#ProviderTotal Paid
1Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$171K
21053325647$158K
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$48K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$22K
51912060229$18K
61225053523$17K
71104835776$15K
81730834904$7K
91093713091$5K
101639176183$4K
111598966301$4K
121619074960$4K
131730322645$4K
14Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$3K
151932485869$2K
161699792143$2K
171134777832$2K
18Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$2K
19Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$2K
201538691365$2K

Showing top 20 of 25 providers billing this code