Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2549 of 11K

64488

HCPCS Procedure Code

HCPCS code 64488 is the #2,549 most-billed Medicaid procedure code, with $5.0M in payments across 51K claims from 2018–2024. The national median cost per claim is $50.96. Costs vary widely — the 90th percentile is $187.16 per claim, 3.7× the median.

Total Paid

$5.0M

0.00% of all spending

Total Claims

51K

Providers

146

Avg Cost/Claim

$99

National Cost Distribution

How much do providers bill per claim for 64488? Based on 121 providers billing this code nationally.

Median

$50.96

Average

$94.76

Std Dev

$139.38

Max

$1,011.12

Percentile Distribution (Cost per Claim)

p10
$17.71
p25
$35.50
Median
$50.96
p75
$83.74
p90
$187.16
p95
$384.41
p99
$579.81

50% of providers bill between $35.50 and $83.74 per claim for this code.

90% bill between $17.71 and $187.16.

Top 1% bill above $579.81.

About This Procedure

HCPCS code 64488 was billed by 146 providers across 51K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.96

Providers Billing

121

National Spending

$5.0M

Avg/Median Ratio

1.86×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 64488

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$980K
2Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$669K
3Summa Health System

Akron, OH · General Acute Care Hospital

$415K
41053354233$375K
51629401898$220K
61093078974$148K
71346267267$133K
81558865840$112K
91336144732$109K
101437112273$96K
111225016926$94K
121497854574$91K
13University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$90K
141427055821$90K
15Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$84K
161558314427$73K
171508138256$71K
181407821796$61K
191558391763$59K
201871986372$57K

Showing top 20 of 146 providers billing this code