#4004 of 11K

45390

HCPCS Procedure Code

HCPCS code 45390 is the #4,004 most-billed Medicaid procedure code, with $939K in payments across 2,951 claims from 2018–2024. The national median cost per claim is $192.18. Costs vary widely — the 90th percentile is $519.03 per claim, 2.7× the median.

Total Paid

$939K

0.00% of all spending

Total Claims

2,951

Providers

Avg Cost/Claim

$318

National Cost Distribution

How much do providers bill per claim for 45390? Based on 22 providers billing this code nationally.

Median

$192.18

Average

$330.67

Std Dev

$412.78

Max

$1,768.89

Percentile Distribution (Cost per Claim)

p10

$47.31

p25

$165.71

Median

$192.18

p75

$311.40

p90

$519.03

p95

$1,231.94

p99

$1,663.99

50% of providers bill between $165.71 and $311.40 per claim for this code.

90% bill between $47.31 and $519.03.

Top 1% bill above $1,663.99.

About This Procedure

HCPCS code 45390 was billed by 24 providers across 2,951 claims, totaling $939K in Medicaid payments from 2018–2024. This code was used for 2,585 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$192.18

Providers Billing

National Spending

$939K

Avg/Median Ratio

1.72×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 45390

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1558339424	$207K	$1,768.89	9.2× median	Top 1%
2	1396812491	$172K	$520.46	2.7× median	Top 10%
3	1023335213	$131K	$192.72	1.0× median	Above Median
4	Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital	$114K	$1,269.38	6.6× median	Top 10%
5	1619964806	$75K	$165.31	0.9× median	Below Median
6	1740552710	$65K	$319.61	1.7× median	Above 75th
7	1932202959	$45K	$240.35	1.3× median	Above Median
8	1235455544	$23K	$166.91	0.9× median	Below Median
9	1699194423	$21K	$286.76	1.5× median	Above Median
10	1063457380	$17K	$506.22	2.6× median	Above 75th
11	1982974721	$17K	$191.63	1.0× median	Below Median
12	1265689111	$12K	$168.33	0.9× median	Below Median
13	Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital	$9K	$175.16	0.9× median	Below Median
14	1194099390	$8K	$150.48	0.8× median	Below Median
15	Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital	$7K	$344.47	1.8× median	Above 75th
16	1699794057	$4K	$181.25	0.9× median	Below Median
17	1831592211	$3K	$233.82	1.2× median	Above Median
18	1225053523	$3K	$132.26	0.7× median	Below Median
19	1952320061	$2K	$193.66	1.0× median	Above Median
20	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$2K	$27.19	0.1× median	Below Median

Showing top 20 of 24 providers billing this code

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