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#3622 of 11K

P9045

HCPCS Procedure Code

HCPCS code P9045 is the #3,622 most-billed Medicaid procedure code, with $1.4M in payments across 10K claims from 2018–2024. The national median cost per claim is $118.89. Costs vary widely — the 90th percentile is $243.74 per claim, 2.1× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

10K

Providers

37

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for P9045? Based on 30 providers billing this code nationally.

Median

$118.89

Average

$118.92

Std Dev

$95.41

Max

$296.92

Percentile Distribution (Cost per Claim)

p10
$13.62
p25
$34.66
Median
$118.89
p75
$204.96
p90
$243.74
p95
$257.22
p99
$287.40

50% of providers bill between $34.66 and $204.96 per claim for this code.

90% bill between $13.62 and $243.74.

Top 1% bill above $287.40.

About This Procedure

HCPCS code P9045 was billed by 37 providers across 10K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.89

Providers Billing

30

National Spending

$1.4M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for P9045

#ProviderTotal Paid
1Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$640K
2Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$184K
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$156K
4Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$144K
5University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$60K
61225033020$35K
7Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$30K
8Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$27K
91043233984$21K
10Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$18K
11Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$18K
121760764849$17K
13Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$11K
141881632818$11K
151427055821$9K
161225289895$9K
17Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$6K
181437119310$5K
191487647590$3K
20Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$3K

Showing top 20 of 37 providers billing this code