84545
HCPCS Procedure Code
HCPCS code 84545 is the #6,842 most-billed Medicaid procedure code, with $40K in payments across 3K claims from 2018–2024. The national median cost per claim is $4.25. Costs vary widely — the 90th percentile is $76.92 per claim, 18.1× the median.
Total Paid
$40K
0.00% of all spending
Total Claims
3K
Providers
9
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 84545? Based on 8 providers billing this code nationally.
Median
$4.25
Average
$23.78
Std Dev
$38.09
Max
$100.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.32 and $21.40 per claim for this code.
90% bill between $2.21 and $76.92.
Top 1% bill above $98.23.
About This Procedure
HCPCS code 84545 was billed by 9 providers across 3K claims, totaling $40K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.25
Providers Billing
8
National Spending
$40K
Avg/Median Ratio
5.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84545
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689987539 | $30K |
| 2 | 1982606992 | $4K |
| 3 | 1801263009 | $3K |
| 4 | 1710917836 | $1K |
| 5 | 1811660327 | $713 |
| 6 | 1124024922 | $426 |
| 7 | 1518039486 | $157 |
| 8 | 1972838944 | $94 |
| 9 | 1710378120 | $0 |
Showing top 9 of 9 providers billing this code