45500
HCPCS Procedure Code
HCPCS code 45500 is the #4,495 most-billed Medicaid procedure code, with $550K in payments across 2,022 claims from 2018–2024. The national median cost per claim is $306.59.
Total Paid
$550K
0.00% of all spending
Total Claims
2,022
Providers
6
Avg Cost/Claim
$272
National Cost Distribution
How much do providers bill per claim for 45500? Based on 6 providers billing this code nationally.
Median
$306.59
Average
$313.48
Std Dev
$96.81
Max
$455.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $231.66 and $372.80 per claim for this code.
90% bill between $213.95 and $419.90.
Top 1% bill above $451.49.
About This Procedure
HCPCS code 45500 was billed by 6 providers across 2,022 claims, totaling $550K in Medicaid payments from 2018–2024. This code was used for 1,602 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$306.59
Providers Billing
6
National Spending
$550K
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 45500
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609851039 | $218K |
| 2 | The Fort Defiance Indian Hospital Board, Incorporation Fort Defiance, AZ · General Acute Care Hospital | $169K |
| 3 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $95K |
| 4 | 1336286798 | $30K |
| 5 | 1760427587 | $26K |
| 6 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $11K |
Showing top 6 of 6 providers billing this code