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#5142 of 11K

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)

p10
$0.33
p25
$1.55
Median
$9.20
p75
$43.50
p90
$84.51
p95
$152.96
p99
$268.45

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

#ProviderTotal Paid
11225033020$93K
2Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$61K
3Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$58K
4West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$37K
51720029960$7K
61144228305$5K
71336103738$4K
81053361642$4K
91912932336$2K
101366452880$2K
111013994359$1K
121548205818$1K
131831116441$758
141851467666$729
151598744856$582
161083644579$229
171033283445$143
181962485136$87
191760488936$27
201336231091$0

Showing top 20 of 32 providers billing this code