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#7869 of 11K

64486

HCPCS Procedure Code

HCPCS code 64486 is the #7,869 most-billed Medicaid procedure code, with $9K in payments across 187 claims from 2018–2024. The national median cost per claim is $77.47.

Total Paid

$9K

0.00% of all spending

Total Claims

187

Providers

5

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 64486? Based on 2 providers billing this code nationally.

Median

$77.47

Average

$77.47

Std Dev

$45.34

Max

$109.53

Percentile Distribution (Cost per Claim)

p10
$51.83
p25
$61.44
Median
$77.47
p75
$93.50
p90
$103.12
p95
$106.33
p99
$108.89

50% of providers bill between $61.44 and $93.50 per claim for this code.

90% bill between $51.83 and $103.12.

Top 1% bill above $108.89.

About This Procedure

HCPCS code 64486 was billed by 5 providers across 187 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 143 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.47

Providers Billing

2

National Spending

$9K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64486

#ProviderTotal Paid
1Summa Health System

Akron, OH · General Acute Care Hospital

$7K
21588609648$2K
31861020224$0
41861733974$0
51043483456$0

Showing top 5 of 5 providers billing this code