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#7455 of 11K

K0045

HCPCS Procedure Code

HCPCS code K0045 is the #7,455 most-billed Medicaid procedure code, with $18K in payments across 10K claims from 2018–2024. The national median cost per claim is $4.08. Costs vary widely — the 90th percentile is $10.61 per claim, 2.6× the median.

Total Paid

$18K

0.00% of all spending

Total Claims

10K

Providers

8

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for K0045? Based on 6 providers billing this code nationally.

Median

$4.08

Average

$5.08

Std Dev

$4.84

Max

$12.62

Percentile Distribution (Cost per Claim)

p10
$0.56
p25
$1.33
Median
$4.08
p75
$7.85
p90
$10.61
p95
$11.61
p99
$12.42

50% of providers bill between $1.33 and $7.85 per claim for this code.

90% bill between $0.56 and $10.61.

Top 1% bill above $12.42.

About This Procedure

HCPCS code K0045 was billed by 8 providers across 10K claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 7,313 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.08

Providers Billing

6

National Spending

$18K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0045

#ProviderTotal Paid
11639770183$7K
2Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$6K
31720387624$2K
41114993490$1K
51447277264$719
61184220485$450
71942284146$0
81083631972$0

Showing top 8 of 8 providers billing this code