#1886 of 11K

T2045

HCPCS Procedure Code

HCPCS code T2045 is the #1,886 most-billed Medicaid procedure code, with $12.2M in payments across 14K claims from 2018–2024. The national median cost per claim is $974.51. Costs vary widely — the 90th percentile is $2,303.55 per claim, 2.4× the median.

Total Paid

$12.2M

0.00% of all spending

Total Claims

14K

Providers

Avg Cost/Claim

$850

National Cost Distribution

How much do providers bill per claim for T2045? Based on 24 providers billing this code nationally.

Median

$974.51

Average

$1,359.25

Std Dev

$1,296.44

Max

$6,703.62

Percentile Distribution (Cost per Claim)

p10

$638.13

p25

$773.06

Median

$974.51

p75

$1,208.50

p90

$2,303.55

p95

$3,061.16

p99

$5,891.84

50% of providers bill between $773.06 and $1,208.50 per claim for this code.

90% bill between $638.13 and $2,303.55.

Top 1% bill above $5,891.84.

About This Procedure

HCPCS code T2045 was billed by 24 providers across 14K claims, totaling $12.2M in Medicaid payments from 2018–2024. This code was used for 3,136 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$974.51

Providers Billing

National Spending

$12.2M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T2045

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1598740011	$3.0M	$826.80	0.8× median	Below Median
2	1346220142	$2.5M	$610.05	0.6× median	Below Median
3	1255333753	$1.8M	$750.49	0.8× median	Below Median
4	Tidewell Hospice Inc. Sarasota, FL · Hospice Care Community Based	$1.8M	$2,420.85	2.5× median	Top 10%
5	1821561614	$595K	$837.17	0.9× median	Below Median
6	1295878304	$475K	$1,124.85	1.2× median	Above Median
7	1538174263	$320K	$780.58	0.8× median	Below Median
8	1598738718	$299K	$494.30	0.5× median	Below Median
9	1508969072	$203K	$748.85	0.8× median	Below Median
10	1629164074	$172K	$832.64	0.9× median	Below Median
11	1447344130	$168K	$6,703.62	6.9× median	Top 1%
12	1235283151	$154K	$2,029.84	2.1× median	Above 75th
13	1265435499	$150K	$852.52	0.9× median	Below Median
14	1144328881	$113K	$1,020.57	1.0× median	Above Median
15	1699840736	$94K	$1,034.93	1.1× median	Above Median
16	1538451034	$65K	$1,167.91	1.2× median	Above Median
17	1538168950	$57K	$1,228.86	1.3× median	Above 75th
18	1023145331	$45K	$567.56	0.6× median	Below Median
19	1588722771	$44K	$3,174.15	3.3× median	Top 10%
20	1871674796	$40K	$703.66	0.7× median	Below Median

Showing top 20 of 24 providers billing this code

Related Procedures

T2046Habilitation, residential, waiver; per month$4.19B T2048Behavioral health; long-term residential, per diem$958.7M T2040Financial management, self-directed; per month$570.2M T2042Financial management, self-directed, waiver, per month$275.4M T2041Supports brokerage, self-directed; per 15 min$216.6M

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