90945
HCPCS Procedure Code
HCPCS code 90945 is the #570 most-billed Medicaid procedure code, with $143.0M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $46.59. Costs vary widely — the 90th percentile is $148.48 per claim, 3.2× the median.
Total Paid
$143.0M
0.01% of all spending
Total Claims
2.0M
Providers
215
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for 90945? Based on 211 providers billing this code nationally.
Median
$46.59
Average
$96.98
Std Dev
$216.90
Max
$1,671.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.99 and $94.23 per claim for this code.
90% bill between $14.96 and $148.48.
Top 1% bill above $1,533.14.
About This Procedure
HCPCS code 90945 was billed by 215 providers across 2.0M claims, totaling $143.0M in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.59
Providers Billing
211
National Spending
$143.0M
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90945
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $11.3M |
| 2 | 1215332945 | $10.3M |
| 3 | 1306267364 | $10.2M |
| 4 | 1942620976 | $8.7M |
| 5 | 1497095905 | $5.9M |
| 6 | 1780915298 | $4.6M |
| 7 | 1750495669 | $4.6M |
| 8 | 1497003875 | $4.0M |
| 9 | 1588031322 | $3.7M |
| 10 | 1639132772 | $3.5M |
| 11 | 1962461418 | $2.8M |
| 12 | 1639140189 | $2.6M |
| 13 | 1326238742 | $2.5M |
| 14 | 1811968761 | $2.4M |
| 15 | 1942293691 | $2.4M |
| 16 | 1326282484 | $2.2M |
| 17 | 1598934226 | $1.9M |
| 18 | 1730472507 | $1.9M |
| 19 | 1033449459 | $1.8M |
| 20 | 1679905715 | $1.8M |
Showing top 20 of 215 providers billing this code