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#5409 of 11K

45338

HCPCS Procedure Code

HCPCS code 45338 is the #5,409 most-billed Medicaid procedure code, with $206K in payments across 1,087 claims from 2018–2024. The national median cost per claim is $302.33.

Total Paid

$206K

0.00% of all spending

Total Claims

1,087

Providers

3

Avg Cost/Claim

$190

National Cost Distribution

How much do providers bill per claim for 45338? Based on 3 providers billing this code nationally.

Median

$302.33

Average

$270.13

Std Dev

$73.94

Max

$322.52

Percentile Distribution (Cost per Claim)

p10
$208.91
p25
$243.94
Median
$302.33
p75
$312.42
p90
$318.48
p95
$320.50
p99
$322.12

50% of providers bill between $243.94 and $312.42 per claim for this code.

90% bill between $208.91 and $318.48.

Top 1% bill above $322.12.

About This Procedure

HCPCS code 45338 was billed by 3 providers across 1,087 claims, totaling $206K in Medicaid payments from 2018–2024. This code was used for 1,086 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$302.33

Providers Billing

3

National Spending

$206K

Avg/Median Ratio

0.89×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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