64451
HCPCS Procedure Code
HCPCS code 64451 is the #5,202 most-billed Medicaid procedure code, with $262K in payments across 2K claims from 2018–2024. The national median cost per claim is $88.72. Costs vary widely — the 90th percentile is $261.71 per claim, 2.9× the median.
Total Paid
$262K
0.00% of all spending
Total Claims
2K
Providers
20
Avg Cost/Claim
$118
National Cost Distribution
How much do providers bill per claim for 64451? Based on 20 providers billing this code nationally.
Median
$88.72
Average
$119.51
Std Dev
$83.33
Max
$291.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.08 and $150.89 per claim for this code.
90% bill between $36.11 and $261.71.
Top 1% bill above $288.71.
About This Procedure
HCPCS code 64451 was billed by 20 providers across 2K claims, totaling $262K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$88.72
Providers Billing
20
National Spending
$262K
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64451
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508285776 | $57K |
| 2 | 1790126084 | $33K |
| 3 | 1710491253 | $31K |
| 4 | 1548557317 | $24K |
| 5 | 1649518564 | $20K |
| 6 | 1285283432 | $20K |
| 7 | 1841619731 | $16K |
| 8 | 1578819850 | $16K |
| 9 | 1811987084 | $14K |
| 10 | 1205364981 | $10K |
| 11 | 1043625221 | $4K |
| 12 | 1609257773 | $3K |
| 13 | 1063831303 | $3K |
| 14 | 1780071167 | $3K |
| 15 | 1699704254 | $2K |
| 16 | 1558885749 | $2K |
| 17 | 1447271713 | $1K |
| 18 | 1588224802 | $1K |
| 19 | 1740287374 | $589 |
| 20 | 1174112007 | $71 |
Showing top 20 of 20 providers billing this code