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#2038 of 11K

E0745

HCPCS Procedure Code

HCPCS code E0745 is the #2,038 most-billed Medicaid procedure code, with $9.8M in payments across 165K claims from 2018–2024. The national median cost per claim is $64.75. Costs vary widely — the 90th percentile is $319.71 per claim, 4.9× the median.

Total Paid

$9.8M

0.00% of all spending

Total Claims

165K

Providers

58

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for E0745? Based on 57 providers billing this code nationally.

Median

$64.75

Average

$154.14

Std Dev

$217.58

Max

$981.69

Percentile Distribution (Cost per Claim)

p10
$7.79
p25
$14.92
Median
$64.75
p75
$232.73
p90
$319.71
p95
$647.95
p99
$963.10

50% of providers bill between $14.92 and $232.73 per claim for this code.

90% bill between $7.79 and $319.71.

Top 1% bill above $963.10.

About This Procedure

HCPCS code E0745 was billed by 58 providers across 165K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 146K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.75

Providers Billing

57

National Spending

$9.8M

Avg/Median Ratio

2.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0745

#ProviderTotal Paid
11770511552$2.2M
21235521030$1.9M
31730248071$1.7M
41780837765$480K
51770096372$457K
61710324363$425K
71285025973$424K
81629167028$374K
91396821583$265K
101780902940$189K
111437196557$146K
121689665911$135K
131720256662$133K
141841291200$115K
151306849229$90K
161689750564$77K
171083894406$75K
181093999039$58K
191669721742$52K
201487674982$50K

Showing top 20 of 58 providers billing this code