99345
HCPCS Procedure Code
HCPCS code 99345 is the #1,040 most-billed Medicaid procedure code, with $46.6M in payments across 359K claims from 2018–2024. The national median cost per claim is $56.78. Costs vary widely — the 90th percentile is $224.29 per claim, 4.0× the median.
Total Paid
$46.6M
0.00% of all spending
Total Claims
359K
Providers
413
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for 99345? Based on 372 providers billing this code nationally.
Median
$56.78
Average
$96.36
Std Dev
$131.41
Max
$995.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.00 and $102.06 per claim for this code.
90% bill between $7.28 and $224.29.
Top 1% bill above $531.38.
About This Procedure
HCPCS code 99345 was billed by 413 providers across 359K claims, totaling $46.6M in Medicaid payments from 2018–2024. This code was used for 325K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.78
Providers Billing
372
National Spending
$46.6M
Avg/Median Ratio
1.70×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99345
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407243223 | $19.9M |
| 2 | 1659897163 | $6.9M |
| 3 | 1134622970 | $5.5M |
| 4 | 1083126353 | $1.2M |
| 5 | 1467001214 | $754K |
| 6 | 1952945438 | $729K |
| 7 | 1255778593 | $694K |
| 8 | 1134773229 | $685K |
| 9 | 1003211012 | $680K |
| 10 | 1447789847 | $640K |
| 11 | 1366807760 | $631K |
| 12 | 1215592183 | $589K |
| 13 | 1215491915 | $575K |
| 14 | 1538729322 | $482K |
| 15 | 1720107956 | $468K |
| 16 | 1619518370 | $368K |
| 17 | 1376973461 | $359K |
| 18 | 1902099104 | $301K |
| 19 | 1548430689 | $280K |
| 20 | 1720513831 | $225K |
Showing top 20 of 413 providers billing this code