11045
HCPCS Procedure Code
HCPCS code 11045 is the #1,731 most-billed Medicaid procedure code, with $15.2M in payments across 177K claims from 2018–2024. The national median cost per claim is $27.04. Costs vary widely — the 90th percentile is $307.73 per claim, 11.4× the median.
Total Paid
$15.2M
0.00% of all spending
Total Claims
177K
Providers
363
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 11045? Based on 328 providers billing this code nationally.
Median
$27.04
Average
$104.69
Std Dev
$195.50
Max
$2,056.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.64 and $116.03 per claim for this code.
90% bill between $3.96 and $307.73.
Top 1% bill above $834.17.
About This Procedure
HCPCS code 11045 was billed by 363 providers across 177K claims, totaling $15.2M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.04
Providers Billing
328
National Spending
$15.2M
Avg/Median Ratio
3.87×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 11045
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $2.4M |
| 2 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $1.1M |
| 3 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $862K |
| 4 | 1952309098 | $824K |
| 5 | Samaritan Hospital Of Troy, New York Troy, NY | $727K |
| 6 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $553K |
| 7 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $506K |
| 8 | 1740208081 | $485K |
| 9 | 1922139120 | $465K |
| 10 | 1134178999 | $459K |
| 11 | 1144286402 | $327K |
| 12 | Summa Health System Akron, OH · General Acute Care Hospital | $296K |
| 13 | 1417947490 | $252K |
| 14 | 1043657141 | $232K |
| 15 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $232K |
| 16 | 1942796818 | $231K |
| 17 | 1104867167 | $227K |
| 18 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $186K |
| 19 | 1700813425 | $177K |
| 20 | 1235212721 | $158K |
Showing top 20 of 363 providers billing this code