63685
HCPCS Procedure Code
HCPCS code 63685 is the #2,965 most-billed Medicaid procedure code, with $2.9M in payments across 395 claims from 2018–2024. The national median cost per claim is $6,519.90. Costs vary widely — the 90th percentile is $15,539.09 per claim, 2.4× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
395
Providers
9
Avg Cost/Claim
$7K
National Cost Distribution
How much do providers bill per claim for 63685? Based on 9 providers billing this code nationally.
Median
$6,519.90
Average
$6,329.36
Std Dev
$7,159.40
Max
$19,953.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $133.07 and $8,344.61 per claim for this code.
90% bill between $107.03 and $15,539.09.
Top 1% bill above $19,512.17.
About This Procedure
HCPCS code 63685 was billed by 9 providers across 395 claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 351 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6,519.90
Providers Billing
9
National Spending
$2.9M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 63685
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851531248 | $2.2M |
| 2 | 1659885325 | $279K |
| 3 | 1609465269 | $217K |
| 4 | 1023055126 | $124K |
| 5 | 1154481984 | $101K |
| 6 | 1396124293 | $10K |
| 7 | 1578545273 | $4K |
| 8 | 1992736599 | $3K |
| 9 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $3K |
Showing top 9 of 9 providers billing this code