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#3114 of 11K

64479

HCPCS Procedure Code

HCPCS code 64479 is the #3,114 most-billed Medicaid procedure code, with $2.5M in payments across 17K claims from 2018–2024. The national median cost per claim is $133.50. Costs vary widely — the 90th percentile is $267.37 per claim, 2.0× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

17K

Providers

76

Avg Cost/Claim

$145

National Cost Distribution

How much do providers bill per claim for 64479? Based on 76 providers billing this code nationally.

Median

$133.50

Average

$150.86

Std Dev

$115.26

Max

$793.01

Percentile Distribution (Cost per Claim)

p10
$44.76
p25
$79.37
Median
$133.50
p75
$199.36
p90
$267.37
p95
$345.25
p99
$510.01

50% of providers bill between $79.37 and $199.36 per claim for this code.

90% bill between $44.76 and $267.37.

Top 1% bill above $510.01.

About This Procedure

HCPCS code 64479 was billed by 76 providers across 17K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$133.50

Providers Billing

76

National Spending

$2.5M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64479

#ProviderTotal Paid
11225440969$382K
21225263775$263K
31972723773$129K
41669588158$128K
51609085810$119K
61821282666$112K
71962405878$91K
81013967165$87K
91669585964$83K
101932264439$79K
111922180439$77K
121083785398$65K
131447244256$57K
141407109085$57K
151881033900$45K
161164734232$44K
171154481984$41K
181245450295$41K
191740520667$38K
201437146743$37K

Showing top 20 of 76 providers billing this code