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#3393 of 11K

45388

HCPCS Procedure Code

HCPCS code 45388 is the #3,393 most-billed Medicaid procedure code, with $1.8M in payments across 9K claims from 2018–2024. The national median cost per claim is $166.94. Costs vary widely — the 90th percentile is $725.04 per claim, 4.3× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

9K

Providers

32

Avg Cost/Claim

$204

National Cost Distribution

How much do providers bill per claim for 45388? Based on 28 providers billing this code nationally.

Median

$166.94

Average

$330.90

Std Dev

$525.09

Max

$2,117.55

Percentile Distribution (Cost per Claim)

p10
$13.91
p25
$48.89
Median
$166.94
p75
$321.58
p90
$725.04
p95
$1,608.53
p99
$2,004.18

50% of providers bill between $48.89 and $321.58 per claim for this code.

90% bill between $13.91 and $725.04.

Top 1% bill above $2,004.18.

About This Procedure

HCPCS code 45388 was billed by 32 providers across 9K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$166.94

Providers Billing

28

National Spending

$1.8M

Avg/Median Ratio

1.98×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 45388

#ProviderTotal Paid
11568638047$639K
21861484842$237K
31932216389$198K
41952820037$113K
51073521175$93K
61942202221$81K
71780153874$74K
81235376104$65K
91861689051$59K
101902849276$52K
111770889297$48K
121366527160$24K
131326004110$24K
141922539188$20K
151114222155$16K
161306073994$14K
171366694747$8K
181891759569$7K
191598700940$4K
201326189242$4K

Showing top 20 of 32 providers billing this code