94645
HCPCS Procedure Code
HCPCS code 94645 is the #4,989 most-billed Medicaid procedure code, with $327K in payments across 20K claims from 2018–2024. The national median cost per claim is $13.43. Costs vary widely — the 90th percentile is $35.91 per claim, 2.7× the median.
Total Paid
$327K
0.00% of all spending
Total Claims
20K
Providers
56
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 94645? Based on 44 providers billing this code nationally.
Median
$13.43
Average
$23.21
Std Dev
$42.15
Max
$272.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.95 and $20.36 per claim for this code.
90% bill between $1.04 and $35.91.
Top 1% bill above $194.01.
About This Procedure
HCPCS code 94645 was billed by 56 providers across 20K claims, totaling $327K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.43
Providers Billing
44
National Spending
$327K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 94645
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $88K |
| 2 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $67K |
| 3 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $19K |
| 4 | 1306244496 | $17K |
| 5 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $17K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $14K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $14K |
| 8 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $14K |
| 9 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $12K |
| 10 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $9K |
| 11 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $7K |
| 12 | 1689744450 | $6K |
| 13 | 1336233386 | $6K |
| 14 | Palomar Health Escondido, CA · General Acute Care Hospital | $5K |
| 15 | 1346297843 | $4K |
| 16 | 1821147786 | $3K |
| 17 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $3K |
| 18 | 1811946734 | $3K |
| 19 | 1679654768 | $3K |
| 20 | 1235134024 | $2K |
Showing top 20 of 56 providers billing this code