64421
HCPCS Procedure Code
HCPCS code 64421 is the #4,160 most-billed Medicaid procedure code, with $796K in payments across 12K claims from 2018–2024. The national median cost per claim is $41.44. Costs vary widely — the 90th percentile is $120.33 per claim, 2.9× the median.
Total Paid
$796K
0.00% of all spending
Total Claims
12K
Providers
16
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 64421? Based on 16 providers billing this code nationally.
Median
$41.44
Average
$50.01
Std Dev
$51.21
Max
$167.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.06 and $68.48 per claim for this code.
90% bill between $3.54 and $120.33.
Top 1% bill above $161.75.
About This Procedure
HCPCS code 64421 was billed by 16 providers across 12K claims, totaling $796K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.44
Providers Billing
16
National Spending
$796K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64421
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639142706 | $408K |
| 2 | 1942275698 | $116K |
| 3 | 1528345295 | $102K |
| 4 | 1801835731 | $60K |
| 5 | 1932187507 | $46K |
| 6 | 1992271811 | $28K |
| 7 | 1518016823 | $15K |
| 8 | 1962405878 | $10K |
| 9 | 1497768170 | $6K |
| 10 | 1730178799 | $1K |
| 11 | 1225016926 | $706 |
| 12 | 1386695930 | $668 |
| 13 | 1669475570 | $373 |
| 14 | 1720543762 | $326 |
| 15 | 1144855131 | $227 |
| 16 | 1760518609 | $160 |
Showing top 16 of 16 providers billing this code