64415
HCPCS Procedure Code
HCPCS code 64415 is the #2,660 most-billed Medicaid procedure code, with $4.3M in payments across 43K claims from 2018–2024. The national median cost per claim is $41.73. Costs vary widely — the 90th percentile is $272.20 per claim, 6.5× the median.
Total Paid
$4.3M
0.00% of all spending
Total Claims
43K
Providers
201
Avg Cost/Claim
$101
National Cost Distribution
How much do providers bill per claim for 64415? Based on 183 providers billing this code nationally.
Median
$41.73
Average
$100.01
Std Dev
$128.26
Max
$746.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.89 and $127.33 per claim for this code.
90% bill between $10.35 and $272.20.
Top 1% bill above $550.22.
About This Procedure
HCPCS code 64415 was billed by 201 providers across 43K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.73
Providers Billing
183
National Spending
$4.3M
Avg/Median Ratio
2.40×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 64415
| # | Provider | Total Paid |
|---|---|---|
| 1 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $700K |
| 2 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $409K |
| 3 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $290K |
| 4 | 1316939556 | $239K |
| 5 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $224K |
| 6 | 1558314427 | $223K |
| 7 | 1831109560 | $101K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $101K |
| 9 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $97K |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $86K |
| 11 | Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center | $80K |
| 12 | 1497797153 | $74K |
| 13 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $73K |
| 14 | 1528242906 | $64K |
| 15 | Montefiore Medical Center Bronx, NY · Anesthesiology | $56K |
| 16 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $54K |
| 17 | 1225016926 | $52K |
| 18 | 1952385221 | $47K |
| 19 | 1972126209 | $45K |
| 20 | 1407821796 | $42K |
Showing top 20 of 201 providers billing this code