73564
HCPCS Procedure Code
HCPCS code 73564 is the #829 most-billed Medicaid procedure code, with $71.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $15.00. Costs vary widely — the 90th percentile is $44.08 per claim, 2.9× the median.
Total Paid
$71.0M
0.01% of all spending
Total Claims
3.4M
Providers
4K
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 73564? Based on 4K providers billing this code nationally.
Median
$15.00
Average
$22.16
Std Dev
$25.03
Max
$431.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.25 and $26.27 per claim for this code.
90% bill between $5.39 and $44.08.
Top 1% bill above $122.89.
About This Procedure
HCPCS code 73564 was billed by 4K providers across 3.4M claims, totaling $71.0M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.00
Providers Billing
4K
National Spending
$71.0M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 73564
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $642K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $629K |
| 3 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $607K |
| 4 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $590K |
| 5 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $557K |
| 6 | 1508856535 | $517K |
| 7 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $502K |
| 8 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $487K |
| 9 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $471K |
| 10 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $425K |
| 11 | 1427095801 | $402K |
| 12 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $402K |
| 13 | 1114081056 | $402K |
| 14 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $387K |
| 15 | 1558586438 | $368K |
| 16 | 1275583726 | $368K |
| 17 | 1720561186 | $338K |
| 18 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $334K |
| 19 | North Shore-lij Medical Pc Great Neck, NY · Urology | $331K |
| 20 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $321K |
Showing top 20 of 4K providers billing this code