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#5218 of 11K

64417

HCPCS Procedure Code

HCPCS code 64417 is the #5,218 most-billed Medicaid procedure code, with $260K in payments across 7K claims from 2018–2024. The national median cost per claim is $34.29. Costs vary widely — the 90th percentile is $78.35 per claim, 2.3× the median.

Total Paid

$260K

0.00% of all spending

Total Claims

7K

Providers

18

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 64417? Based on 17 providers billing this code nationally.

Median

$34.29

Average

$57.73

Std Dev

$96.59

Max

$421.40

Percentile Distribution (Cost per Claim)

p10
$10.57
p25
$18.25
Median
$34.29
p75
$52.13
p90
$78.35
p95
$160.48
p99
$369.22

50% of providers bill between $18.25 and $52.13 per claim for this code.

90% bill between $10.57 and $78.35.

Top 1% bill above $369.22.

About This Procedure

HCPCS code 64417 was billed by 18 providers across 7K claims, totaling $260K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.29

Providers Billing

17

National Spending

$260K

Avg/Median Ratio

1.68×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 64417

#ProviderTotal Paid
11497797153$131K
2Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$54K
31790785095$33K
41982792743$13K
51619969540$10K
61639110406$5K
71699714717$4K
81073001012$2K
91407821796$2K
101669581997$2K
111306913488$938
121588308035$872
131720543762$662
141508863242$492
151285676460$482
161013940253$420
171649236845$72
181356428429$0

Showing top 18 of 18 providers billing this code