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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154481984 | $582K |
| 2 | 1962405878 | $373K |
| 3 | 1871650739 | $322K |
| 4 | 1740228469 | $213K |
| 5 | 1457851578 | $195K |
| 6 | 1891185096 | $169K |
| 7 | 1841619731 | $169K |
| 8 | 1427230788 | $164K |
| 9 | 1992718381 | $152K |
| 10 | 1932317740 | $147K |
| 11 | 1790920452 | $146K |
| 12 | 1891732889 | $138K |
| 13 | 1891000550 | $137K |
| 14 | 1467418574 | $135K |
| 15 | 1255683785 | $124K |
| 16 | 1750493979 | $123K |
| 17 | 1902969439 | $118K |
| 18 | 1528483245 | $116K |
| 19 | 1477781425 | $114K |
| 20 | 1083051346 | $114K |
Showing top 20 of 609 providers billing this code