64413
HCPCS Procedure Code
HCPCS code 64413 is the #6,558 most-billed Medicaid procedure code, with $56K in payments across 1K claims from 2018–2024. The national median cost per claim is $86.87. Costs vary widely — the 90th percentile is $253.30 per claim, 2.9× the median.
Total Paid
$56K
0.00% of all spending
Total Claims
1K
Providers
8
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 64413? Based on 8 providers billing this code nationally.
Median
$86.87
Average
$120.73
Std Dev
$172.56
Max
$529.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.25 and $113.14 per claim for this code.
90% bill between $7.39 and $253.30.
Top 1% bill above $501.58.
About This Procedure
HCPCS code 64413 was billed by 8 providers across 1K claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 995 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.87
Providers Billing
8
National Spending
$56K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64413
| # | Provider | Total Paid |
|---|---|---|
| 1 | Montefiore Medical Center Bronx, NY · Anesthesiology | $19K |
| 2 | 1497768170 | $17K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $7K |
| 4 | 1013047042 | $5K |
| 5 | 1386697977 | $4K |
| 6 | 1891136073 | $2K |
| 7 | Summa Health System Akron, OH · General Acute Care Hospital | $1K |
| 8 | 1629045778 | $0 |
Showing top 8 of 8 providers billing this code