0064A
HCPCS Procedure Code
HCPCS code 0064A is the #1,509 most-billed Medicaid procedure code, with $20.8M in payments across 598K claims from 2018–2024. The national median cost per claim is $34.17.
Total Paid
$20.8M
0.00% of all spending
Total Claims
598K
Providers
4K
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for 0064A? Based on 3K providers billing this code nationally.
Median
$34.17
Average
$37.39
Std Dev
$57.21
Max
$861.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.82 and $40.00 per claim for this code.
90% bill between $6.67 and $46.68.
Top 1% bill above $398.86.
About This Procedure
HCPCS code 0064A was billed by 4K providers across 598K claims, totaling $20.8M in Medicaid payments from 2018–2024. This code was used for 549K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.17
Providers Billing
3K
National Spending
$20.8M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0064A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $1.4M |
| 2 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $715K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $477K |
| 4 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $414K |
| 5 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $412K |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $365K |
| 7 | Kewa Pueblo Health Corporation Santo Domingo Pueblo, NM · Clinic/Center | $259K |
| 8 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $236K |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $234K |
| 10 | Chinatown True Care Medical Pllc New York, NY · Family Medicine | $205K |
| 11 | Southern California Permanente Medical Group Bellflower, CA · Health Maintenance Organization | $184K |
| 12 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $184K |
| 13 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $176K |
| 14 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $168K |
| 15 | 1760439921 | $152K |
| 16 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $151K |
| 17 | Mescalero Indian Hospital Mescalero, NM · General Acute Care Hospital, Rural | $145K |
| 18 | St Regis Mohawk Tribe Akwesasne, NY · Substance Abuse Rehabilitation Facility | $143K |
| 19 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $130K |
| 20 | Southern California Permanente Medical Group Panorama City, CA · Health Maintenance Organization | $127K |
Showing top 20 of 4K providers billing this code