45398
HCPCS Procedure Code
HCPCS code 45398 is the #4,887 most-billed Medicaid procedure code, with $362K in payments across 932 claims from 2018–2024. The national median cost per claim is $356.41.
Total Paid
$362K
0.00% of all spending
Total Claims
932
Providers
7
Avg Cost/Claim
$388
National Cost Distribution
How much do providers bill per claim for 45398? Based on 7 providers billing this code nationally.
Median
$356.41
Average
$325.81
Std Dev
$172.54
Max
$592.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $187.86 and $422.97 per claim for this code.
90% bill between $148.23 and $511.82.
Top 1% bill above $584.67.
About This Procedure
HCPCS code 45398 was billed by 7 providers across 932 claims, totaling $362K in Medicaid payments from 2018–2024. This code was used for 904 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$356.41
Providers Billing
7
National Spending
$362K
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 45398
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225053523 | $179K |
| 2 | 1477527398 | $128K |
| 3 | 1265489157 | $39K |
| 4 | 1770559981 | $6K |
| 5 | 1558612762 | $5K |
| 6 | 1932216389 | $3K |
| 7 | 1952820037 | $2K |
Showing top 7 of 7 providers billing this code