64490
HCPCS Procedure Code
HCPCS code 64490 is the #1,699 most-billed Medicaid procedure code, with $15.9M in payments across 101K claims from 2018–2024. The national median cost per claim is $111.43. Costs vary widely — the 90th percentile is $383.16 per claim, 3.4× the median.
Total Paid
$15.9M
0.00% of all spending
Total Claims
101K
Providers
314
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 64490? Based on 309 providers billing this code nationally.
Median
$111.43
Average
$167.80
Std Dev
$163.46
Max
$1,045.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.87 and $196.22 per claim for this code.
90% bill between $38.53 and $383.16.
Top 1% bill above $762.56.
About This Procedure
HCPCS code 64490 was billed by 314 providers across 101K claims, totaling $15.9M in Medicaid payments from 2018–2024. This code was used for 71K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$111.43
Providers Billing
309
National Spending
$15.9M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64490
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $1.0M |
| 2 | 1639142706 | $862K |
| 3 | 1932317740 | $681K |
| 4 | 1407116361 | $612K |
| 5 | Edward W Sparrow Hospital Association Lansing, MI · Rehabilitation, Substance Use Disorder Unit | $611K |
| 6 | 1821471913 | $494K |
| 7 | 1851531248 | $491K |
| 8 | 1154481984 | $411K |
| 9 | 1164430567 | $410K |
| 10 | 1992022297 | $369K |
| 11 | 1467418574 | $352K |
| 12 | 1891000550 | $326K |
| 13 | 1285767822 | $279K |
| 14 | 1831109560 | $252K |
| 15 | 1962405878 | $232K |
| 16 | 1447244256 | $230K |
| 17 | 1871650739 | $216K |
| 18 | 1750493979 | $215K |
| 19 | 1629404918 | $208K |
| 20 | 1578643607 | $203K |
Showing top 20 of 314 providers billing this code