64430
HCPCS Procedure Code
HCPCS code 64430 is the #5,115 most-billed Medicaid procedure code, with $286K in payments across 1K claims from 2018–2024. The national median cost per claim is $57.64. Costs vary widely — the 90th percentile is $308.57 per claim, 5.4× the median.
Total Paid
$286K
0.00% of all spending
Total Claims
1K
Providers
10
Avg Cost/Claim
$202
National Cost Distribution
How much do providers bill per claim for 64430? Based on 8 providers billing this code nationally.
Median
$57.64
Average
$119.49
Std Dev
$123.01
Max
$314.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.66 and $174.85 per claim for this code.
90% bill between $28.80 and $308.57.
Top 1% bill above $314.15.
About This Procedure
HCPCS code 64430 was billed by 10 providers across 1K claims, totaling $286K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.64
Providers Billing
8
National Spending
$286K
Avg/Median Ratio
2.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 64430
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386709871 | $237K |
| 2 | 1649362740 | $34K |
| 3 | 1366433195 | $5K |
| 4 | 1932187507 | $4K |
| 5 | 1346230968 | $4K |
| 6 | 1255449963 | $628 |
| 7 | University Physicians Incorporated Aurora, CO · Anesthesiology | $587 |
| 8 | 1245248947 | $475 |
| 9 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $0 |
| 10 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $0 |
Showing top 10 of 10 providers billing this code