0064U
HCPCS Procedure Code
HCPCS code 0064U is the #5,142 most-billed Medicaid procedure code, with $278K in payments across 27K claims from 2018–2024. The national median cost per claim is $9.20. Costs vary widely — the 90th percentile is $84.51 per claim, 9.2× the median.
Total Paid
$278K
0.00% of all spending
Total Claims
27K
Providers
32
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 0064U? Based on 19 providers billing this code nationally.
Median
$9.20
Average
$38.64
Std Dev
$71.93
Max
$297.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.55 and $43.50 per claim for this code.
90% bill between $0.33 and $84.51.
Top 1% bill above $268.45.
About This Procedure
HCPCS code 0064U was billed by 32 providers across 27K claims, totaling $278K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.20
Providers Billing
19
National Spending
$278K
Avg/Median Ratio
4.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0064U
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225033020 | $93K |
| 2 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $61K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $58K |
| 4 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $37K |
| 5 | 1720029960 | $7K |
| 6 | 1144228305 | $5K |
| 7 | 1336103738 | $4K |
| 8 | 1053361642 | $4K |
| 9 | 1912932336 | $2K |
| 10 | 1366452880 | $2K |
| 11 | 1013994359 | $1K |
| 12 | 1548205818 | $1K |
| 13 | 1831116441 | $758 |
| 14 | 1851467666 | $729 |
| 15 | 1598744856 | $582 |
| 16 | 1083644579 | $229 |
| 17 | 1033283445 | $143 |
| 18 | 1962485136 | $87 |
| 19 | 1760488936 | $27 |
| 20 | 1336231091 | $0 |
Showing top 20 of 32 providers billing this code