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#3252 of 11K

W1764

HCPCS Procedure Code

HCPCS code W1764 is the #3,252 most-billed Medicaid procedure code, with $2.1M in payments across 98K claims from 2018–2024. The national median cost per claim is $8.47. Costs vary widely — the 90th percentile is $52.12 per claim, 6.2× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

98K

Providers

3

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for W1764? Based on 3 providers billing this code nationally.

Median

$8.47

Average

$26.00

Std Dev

$32.09

Max

$63.04

Percentile Distribution (Cost per Claim)

p10
$6.89
p25
$7.48
Median
$8.47
p75
$35.75
p90
$52.12
p95
$57.58
p99
$61.95

50% of providers bill between $7.48 and $35.75 per claim for this code.

90% bill between $6.89 and $52.12.

Top 1% bill above $61.95.

About This Procedure

HCPCS code W1764 was billed by 3 providers across 98K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.47

Providers Billing

3

National Spending

$2.1M

Avg/Median Ratio

3.07×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.