64491
HCPCS Procedure Code
HCPCS code 64491 is the #2,712 most-billed Medicaid procedure code, with $4.0M in payments across 75K claims from 2018–2024. The national median cost per claim is $40.21. Costs vary widely — the 90th percentile is $124.69 per claim, 3.1× the median.
Total Paid
$4.0M
0.00% of all spending
Total Claims
75K
Providers
263
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for 64491? Based on 234 providers billing this code nationally.
Median
$40.21
Average
$61.47
Std Dev
$77.52
Max
$494.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.33 and $64.53 per claim for this code.
90% bill between $8.09 and $124.69.
Top 1% bill above $472.52.
About This Procedure
HCPCS code 64491 was billed by 263 providers across 75K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.21
Providers Billing
234
National Spending
$4.0M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64491
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154481984 | $379K |
| 2 | 1407116361 | $260K |
| 3 | 1639142706 | $190K |
| 4 | 1932317740 | $167K |
| 5 | 1467418574 | $160K |
| 6 | 1891000550 | $157K |
| 7 | 1962405878 | $142K |
| 8 | 1871650739 | $124K |
| 9 | 1225440969 | $91K |
| 10 | 1740856285 | $86K |
| 11 | 1043272750 | $83K |
| 12 | 1427230788 | $79K |
| 13 | 1821282666 | $75K |
| 14 | 1609085810 | $74K |
| 15 | 1750493979 | $68K |
| 16 | 1447244256 | $62K |
| 17 | 1457851578 | $62K |
| 18 | 1538227897 | $61K |
| 19 | 1164664082 | $59K |
| 20 | 1942423579 | $53K |
Showing top 20 of 263 providers billing this code