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#3195 of 11K

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)

p10
$3.62
p25
$5.81
Median
$20.82
p75
$30.18
p90
$209.40
p95
$299.01
p99
$370.70

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

#ProviderTotal Paid
11235594656$1.1M
21386779270$693K
31770618571$398K
41144539586$40K
51912584814$15K
61326357773$9K
71407233240$0
81881668093$0
91891756276$0
101427307206$0
111447226204$0
121962476606$0
131801158498$0
141407270804$0
151073587697$0
161679718225$0
171033449459$0
181174586226$0
191508118977$0
201619397700$0

Showing top 20 of 30 providers billing this code