64425
HCPCS Procedure Code
HCPCS code 64425 is the #5,644 most-billed Medicaid procedure code, with $163K in payments across 3K claims from 2018–2024. The national median cost per claim is $56.10.
Total Paid
$163K
0.00% of all spending
Total Claims
3K
Providers
9
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 64425? Based on 8 providers billing this code nationally.
Median
$56.10
Average
$55.99
Std Dev
$23.29
Max
$105.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.60 and $61.37 per claim for this code.
90% bill between $34.33 and $76.12.
Top 1% bill above $102.22.
About This Procedure
HCPCS code 64425 was billed by 9 providers across 3K claims, totaling $163K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.10
Providers Billing
8
National Spending
$163K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64425
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942301494 | $121K |
| 2 | 1932402195 | $16K |
| 3 | 1689761942 | $13K |
| 4 | 1932187507 | $10K |
| 5 | 1578592663 | $1K |
| 6 | 1003887118 | $930 |
| 7 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $745 |
| 8 | 1548208564 | $514 |
| 9 | 1518989193 | $0 |
Showing top 9 of 9 providers billing this code