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#6560 of 11K

0764T

HCPCS Procedure Code

HCPCS code 0764T is the #6,560 most-billed Medicaid procedure code, with $56K in payments across 4,726 claims from 2018–2024. The national median cost per claim is $0.63. Costs vary widely — the 90th percentile is $16.59 per claim, 26.3× the median.

Total Paid

$56K

0.00% of all spending

Total Claims

4,726

Providers

16

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 0764T? Based on 15 providers billing this code nationally.

Median

$0.63

Average

$6.27

Std Dev

$9.61

Max

$32.08

Percentile Distribution (Cost per Claim)

p10
$0.25
p25
$0.41
Median
$0.63
p75
$12.18
p90
$16.59
p95
$21.81
p99
$30.02

50% of providers bill between $0.41 and $12.18 per claim for this code.

90% bill between $0.25 and $16.59.

Top 1% bill above $30.02.

About This Procedure

HCPCS code 0764T was billed by 16 providers across 4,726 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 4,083 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.63

Providers Billing

15

National Spending

$56K

Avg/Median Ratio

9.95×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0764T

#ProviderTotal Paid
11922074434$44K
21578545422$7K
31891701637$3K
41366410862$461
51154302487$449
61790772317$198
71154372944$76
81740239557$50
91801874227$31
101629056049$24
111235588831$22
121629027578$21
131700837812$18
141841278637$18
151912958026$17
161114453883$0

Showing top 16 of 16 providers billing this code