64494
HCPCS Procedure Code
HCPCS code 64494 is the #1,313 most-billed Medicaid procedure code, with $27.8M in payments across 613K claims from 2018–2024. The national median cost per claim is $34.70. Costs vary widely — the 90th percentile is $106.98 per claim, 3.1× the median.
Total Paid
$27.8M
0.00% of all spending
Total Claims
613K
Providers
1K
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 64494? Based on 1K providers billing this code nationally.
Median
$34.70
Average
$53.64
Std Dev
$70.16
Max
$633.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.55 and $59.44 per claim for this code.
90% bill between $5.86 and $106.98.
Top 1% bill above $382.70.
About This Procedure
HCPCS code 64494 was billed by 1K providers across 613K claims, totaling $27.8M in Medicaid payments from 2018–2024. This code was used for 438K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.70
Providers Billing
1K
National Spending
$27.8M
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64494
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154481984 | $792K |
| 2 | 1225450588 | $772K |
| 3 | 1225440969 | $665K |
| 4 | 1518998764 | $582K |
| 5 | 1154365062 | $531K |
| 6 | 1306280177 | $510K |
| 7 | 1962405878 | $478K |
| 8 | 1407116361 | $449K |
| 9 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $380K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $361K |
| 11 | 1871650739 | $336K |
| 12 | 1285007989 | $336K |
| 13 | 1043272750 | $330K |
| 14 | 1467418574 | $321K |
| 15 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $294K |
| 16 | 1447244256 | $291K |
| 17 | 1750493979 | $291K |
| 18 | 1558570648 | $272K |
| 19 | 1427230788 | $260K |
| 20 | 1902969439 | $236K |
Showing top 20 of 1K providers billing this code