64418
HCPCS Procedure Code
HCPCS code 64418 is the #3,422 most-billed Medicaid procedure code, with $1.7M in payments across 30K claims from 2018–2024. The national median cost per claim is $56.50. Costs vary widely — the 90th percentile is $154.60 per claim, 2.7× the median.
Total Paid
$1.7M
0.00% of all spending
Total Claims
30K
Providers
55
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for 64418? Based on 49 providers billing this code nationally.
Median
$56.50
Average
$73.10
Std Dev
$66.51
Max
$323.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.27 and $94.09 per claim for this code.
90% bill between $17.71 and $154.60.
Top 1% bill above $288.94.
About This Procedure
HCPCS code 64418 was billed by 55 providers across 30K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.50
Providers Billing
49
National Spending
$1.7M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64418
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154636397 | $687K |
| 2 | 1487703401 | $199K |
| 3 | 1033497714 | $147K |
| 4 | 1093819419 | $77K |
| 5 | 1164734232 | $70K |
| 6 | 1164907804 | $57K |
| 7 | 1154481984 | $48K |
| 8 | 1457870867 | $43K |
| 9 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $43K |
| 10 | Summa Health System Akron, OH · General Acute Care Hospital | $43K |
| 11 | 1699720888 | $42K |
| 12 | 1144265760 | $35K |
| 13 | 1437146743 | $28K |
| 14 | 1609085810 | $27K |
| 15 | 1891136073 | $23K |
| 16 | 1467418574 | $21K |
| 17 | 1619178308 | $20K |
| 18 | 1861824559 | $17K |
| 19 | 1003058637 | $15K |
| 20 | 1609074053 | $12K |
Showing top 20 of 55 providers billing this code