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#4791 of 11K

A7045

HCPCS Procedure Code

HCPCS code A7045 is the #4,791 most-billed Medicaid procedure code, with $400K in payments across 47K claims from 2018–2024. The national median cost per claim is $7.87.

Total Paid

$400K

0.00% of all spending

Total Claims

47K

Providers

42

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for A7045? Based on 38 providers billing this code nationally.

Median

$7.87

Average

$12.27

Std Dev

$21.25

Max

$104.22

Percentile Distribution (Cost per Claim)

p10
$0.75
p25
$3.64
Median
$7.87
p75
$12.44
p90
$14.79
p95
$29.94
p99
$100.03

50% of providers bill between $3.64 and $12.44 per claim for this code.

90% bill between $0.75 and $14.79.

Top 1% bill above $100.03.

About This Procedure

HCPCS code A7045 was billed by 42 providers across 47K claims, totaling $400K in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.87

Providers Billing

38

National Spending

$400K

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A7045

#ProviderTotal Paid
11992764658$91K
2Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$58K
31447210299$54K
41033289889$42K
51538668843$39K
61902098965$20K
71669449930$15K
81528268919$11K
9Los Ninos Hospital Inc

Phoenix, AZ · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$9K
101639375835$8K
111205837879$8K
121205994217$8K
131073680799$8K
141033462759$6K
151952338162$4K
161811990302$3K
171396851184$3K
18Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$2K
19Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$2K
201801828207$1K

Showing top 20 of 42 providers billing this code