69145
HCPCS Procedure Code
HCPCS code 69145 is the #4,900 most-billed Medicaid procedure code, with $359K in payments across 1,066 claims from 2018–2024. The national median cost per claim is $186.77. Costs vary widely — the 90th percentile is $390.92 per claim, 2.1× the median.
Total Paid
$359K
0.00% of all spending
Total Claims
1,066
Providers
4
Avg Cost/Claim
$337
National Cost Distribution
How much do providers bill per claim for 69145? Based on 4 providers billing this code nationally.
Median
$186.77
Average
$227.13
Std Dev
$165.41
Max
$440.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $96.81 and $317.09 per claim for this code.
90% bill between $95.62 and $390.92.
Top 1% bill above $435.22.
About This Procedure
HCPCS code 69145 was billed by 4 providers across 1,066 claims, totaling $359K in Medicaid payments from 2018–2024. This code was used for 1,001 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$186.77
Providers Billing
4
National Spending
$359K
Avg/Median Ratio
1.22×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.