0634
HCPCS Procedure Code
HCPCS code 0634 is the #3,195 most-billed Medicaid procedure code, with $2.2M in payments across 161K claims from 2018–2024. The national median cost per claim is $20.82. Costs vary widely — the 90th percentile is $209.40 per claim, 10.1× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
161K
Providers
30
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 0634? Based on 6 providers billing this code nationally.
Median
$20.82
Average
$77.95
Std Dev
$152.68
Max
$388.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.81 and $30.18 per claim for this code.
90% bill between $3.62 and $209.40.
Top 1% bill above $370.70.
About This Procedure
HCPCS code 0634 was billed by 30 providers across 161K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.82
Providers Billing
6
National Spending
$2.2M
Avg/Median Ratio
3.74×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0634
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235594656 | $1.1M |
| 2 | 1386779270 | $693K |
| 3 | 1770618571 | $398K |
| 4 | 1144539586 | $40K |
| 5 | 1912584814 | $15K |
| 6 | 1326357773 | $9K |
| 7 | 1407233240 | $0 |
| 8 | 1881668093 | $0 |
| 9 | 1891756276 | $0 |
| 10 | 1427307206 | $0 |
| 11 | 1447226204 | $0 |
| 12 | 1962476606 | $0 |
| 13 | 1801158498 | $0 |
| 14 | 1407270804 | $0 |
| 15 | 1073587697 | $0 |
| 16 | 1679718225 | $0 |
| 17 | 1033449459 | $0 |
| 18 | 1174586226 | $0 |
| 19 | 1508118977 | $0 |
| 20 | 1619397700 | $0 |
Showing top 20 of 30 providers billing this code