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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1497797153 | $131K |
| 2 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $54K |
| 3 | 1790785095 | $33K |
| 4 | 1982792743 | $13K |
| 5 | 1619969540 | $10K |
| 6 | 1639110406 | $5K |
| 7 | 1699714717 | $4K |
| 8 | 1073001012 | $2K |
| 9 | 1407821796 | $2K |
| 10 | 1669581997 | $2K |
| 11 | 1306913488 | $938 |
| 12 | 1588308035 | $872 |
| 13 | 1720543762 | $662 |
| 14 | 1508863242 | $492 |
| 15 | 1285676460 | $482 |
| 16 | 1013940253 | $420 |
| 17 | 1649236845 | $72 |
| 18 | 1356428429 | $0 |
Showing top 18 of 18 providers billing this code