#4871 of 11K

82945

HCPCS Procedure Code

HCPCS code 82945 is the #4,871 most-billed Medicaid procedure code, with $367K in payments across 168K claims from 2018–2024. The national median cost per claim is $1.48. Costs vary widely — the 90th percentile is $7.18 per claim, 4.9× the median.

Total Paid

$367K

0.00% of all spending

Total Claims

168K

Providers

333

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 82945? Based on 293 providers billing this code nationally.

Median

$1.48

Average

$3.88

Std Dev

$14.83

Max

$199.61

Percentile Distribution (Cost per Claim)

p10

$0.22

p25

$0.56

Median

$1.48

p75

$2.54

p90

$7.18

p95

$14.56

p99

$27.18

50% of providers bill between $0.56 and $2.54 per claim for this code.

90% bill between $0.22 and $7.18.

Top 1% bill above $27.18.

About This Procedure

HCPCS code 82945 was billed by 333 providers across 168K claims, totaling $367K in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.48

Providers Billing

293

National Spending

$367K

Avg/Median Ratio

2.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 82945

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1649726738	$46K	$74.76	50.5× median	Top 1%
2	1407243223	$43K	$8.11	5.5× median	Top 10%
3	1245720820	$24K	$2.99	2.0× median	Above 75th
4	1982606992	$23K	$1.64	1.1× median	Above Median
5	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$17K	$4.80	3.2× median	Above 75th
6	1134622970	$10K	$14.56	9.8× median	Top 10%
7	1922008150	$8K	$1.75	1.2× median	Above Median
8	University Of Kentucky Lexington, KY · General Acute Care Hospital	$8K	$4.68	3.2× median	Above 75th
9	1053361352	$7K	$1.76	1.2× median	Above Median
10	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$6K	$7.86	5.3× median	Top 10%
11	1457354656	$6K	$1.98	1.3× median	Above Median
12	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$6K	$4.98	3.4× median	Above 75th
13	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$5K	$7.66	5.2× median	Top 10%
14	1598266421	$5K	$2.30	1.6× median	Above Median
15	1659897163	$5K	$6.23	4.2× median	Above 75th
16	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$5K	$2.28	1.5× median	Above Median
17	1073949327	$5K	$1.69	1.1× median	Above Median
18	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$4K	$6.09	4.1× median	Above 75th
19	1487868097	$4K	$199.61	134.9× median	Top 1%
20	1053334755	$4K	$1.56	1.1× median	Above Median

Showing top 20 of 333 providers billing this code

Related Procedures

82947Blood glucose level test$57.2M 82948$23.8M 82950$20.6M 82951$12.0M 82952$2.3M

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