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#570 of 11K

90945

HCPCS Procedure Code

HCPCS code 90945 is the #570 most-billed Medicaid procedure code, with $143.0M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $46.59. Costs vary widely — the 90th percentile is $148.48 per claim, 3.2× the median.

Total Paid

$143.0M

0.01% of all spending

Total Claims

2.0M

Providers

215

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 90945? Based on 211 providers billing this code nationally.

Median

$46.59

Average

$96.98

Std Dev

$216.90

Max

$1,671.64

Percentile Distribution (Cost per Claim)

p10
$14.96
p25
$26.99
Median
$46.59
p75
$94.23
p90
$148.48
p95
$221.43
p99
$1,533.14

50% of providers bill between $26.99 and $94.23 per claim for this code.

90% bill between $14.96 and $148.48.

Top 1% bill above $1,533.14.

About This Procedure

HCPCS code 90945 was billed by 215 providers across 2.0M claims, totaling $143.0M in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.59

Providers Billing

211

National Spending

$143.0M

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90945

#ProviderTotal Paid
1Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$11.3M
21215332945$10.3M
31306267364$10.2M
41942620976$8.7M
51497095905$5.9M
61780915298$4.6M
71750495669$4.6M
81497003875$4.0M
91588031322$3.7M
101639132772$3.5M
111962461418$2.8M
121639140189$2.6M
131326238742$2.5M
141811968761$2.4M
151942293691$2.4M
161326282484$2.2M
171598934226$1.9M
181730472507$1.9M
191033449459$1.8M
201679905715$1.8M

Showing top 20 of 215 providers billing this code