Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7776 of 11K

54164

HCPCS Procedure Code

HCPCS code 54164 is the #7,776 most-billed Medicaid procedure code, with $10K in payments across 87 claims from 2018–2024. The national median cost per claim is $118.36.

Total Paid

$10K

0.00% of all spending

Total Claims

87

Providers

1

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for 54164? Based on 1 providers billing this code nationally.

Median

$118.36

Average

$118.36

Std Dev

Max

$118.36

Percentile Distribution (Cost per Claim)

p10
$118.36
p25
$118.36
Median
$118.36
p75
$118.36
p90
$118.36
p95
$118.36
p99
$118.36

50% of providers bill between $118.36 and $118.36 per claim for this code.

90% bill between $118.36 and $118.36.

Top 1% bill above $118.36.

About This Procedure

HCPCS code 54164 was billed by 1 providers across 87 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 86 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.36

Providers Billing

1

National Spending

$10K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.