64420
HCPCS Procedure Code
HCPCS code 64420 is the #4,747 most-billed Medicaid procedure code, with $421K in payments across 7K claims from 2018–2024. The national median cost per claim is $26.16.
Total Paid
$421K
0.00% of all spending
Total Claims
7K
Providers
12
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 64420? Based on 12 providers billing this code nationally.
Median
$26.16
Average
$36.25
Std Dev
$43.12
Max
$161.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.88 and $42.56 per claim for this code.
90% bill between $1.85 and $51.15.
Top 1% bill above $149.42.
About This Procedure
HCPCS code 64420 was billed by 12 providers across 7K claims, totaling $421K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.16
Providers Billing
12
National Spending
$421K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639142706 | $333K |
| 2 | 1992271811 | $28K |
| 3 | 1801835731 | $21K |
| 4 | 1144855131 | $15K |
| 5 | 1962405878 | $10K |
| 6 | 1942275698 | $10K |
| 7 | 1053366377 | $1K |
| 8 | 1730178799 | $1K |
| 9 | 1386695930 | $746 |
| 10 | 1225016926 | $562 |
| 11 | 1669475570 | $372 |
| 12 | 1720543762 | $54 |
Showing top 12 of 12 providers billing this code