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#2029 of 11K

64495

HCPCS Procedure Code

HCPCS code 64495 is the #2,029 most-billed Medicaid procedure code, with $9.8M in payments across 250K claims from 2018–2024. The national median cost per claim is $36.70. Costs vary widely — the 90th percentile is $89.45 per claim, 2.4× the median.

Total Paid

$9.8M

0.00% of all spending

Total Claims

250K

Providers

609

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 64495? Based on 520 providers billing this code nationally.

Median

$36.70

Average

$49.00

Std Dev

$57.13

Max

$470.68

Percentile Distribution (Cost per Claim)

p10
$6.43
p25
$18.37
Median
$36.70
p75
$59.96
p90
$89.45
p95
$134.39
p99
$346.94

50% of providers bill between $18.37 and $59.96 per claim for this code.

90% bill between $6.43 and $89.45.

Top 1% bill above $346.94.

About This Procedure

HCPCS code 64495 was billed by 609 providers across 250K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 182K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.70

Providers Billing

520

National Spending

$9.8M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64495

#ProviderTotal Paid
11154481984$582K
21962405878$373K
31871650739$322K
41740228469$213K
51457851578$195K
61891185096$169K
71841619731$169K
81427230788$164K
91992718381$152K
101932317740$147K
111790920452$146K
121891732889$138K
131891000550$137K
141467418574$135K
151255683785$124K
161750493979$123K
171902969439$118K
181528483245$116K
191477781425$114K
201083051346$114K

Showing top 20 of 609 providers billing this code