90845
HCPCS Procedure Code
HCPCS code 90845 is the #6,169 most-billed Medicaid procedure code, with $88K in payments across 13K claims from 2018–2024. The national median cost per claim is $17.91. Costs vary widely — the 90th percentile is $96.18 per claim, 5.4× the median.
Total Paid
$88K
0.00% of all spending
Total Claims
13K
Providers
25
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 90845? Based on 13 providers billing this code nationally.
Median
$17.91
Average
$35.95
Std Dev
$39.73
Max
$106.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.81 and $74.88 per claim for this code.
90% bill between $4.14 and $96.18.
Top 1% bill above $105.21.
About This Procedure
HCPCS code 90845 was billed by 25 providers across 13K claims, totaling $88K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.91
Providers Billing
13
National Spending
$88K
Avg/Median Ratio
2.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90845
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609360254 | $53K |
| 2 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $12K |
| 3 | 1720598592 | $5K |
| 4 | 1639246358 | $5K |
| 5 | 1144516824 | $4K |
| 6 | 1104185016 | $3K |
| 7 | 1245253160 | $2K |
| 8 | 1144680422 | $2K |
| 9 | 1598202913 | $1K |
| 10 | 1093475220 | $1K |
| 11 | 1295330736 | $699 |
| 12 | 1114921673 | $240 |
| 13 | 1609206010 | $79 |
| 14 | 1457416737 | $0 |
| 15 | 1750819595 | $0 |
| 16 | 1811013709 | $0 |
| 17 | 1366939225 | $0 |
| 18 | 1316063209 | $0 |
| 19 | 1124144027 | $0 |
| 20 | 1932260106 | $0 |
Showing top 20 of 25 providers billing this code