#3290 of 11K

64492

HCPCS Procedure Code

HCPCS code 64492 is the #3,290 most-billed Medicaid procedure code, with $2.0M in payments across 38K claims from 2018–2024. The national median cost per claim is $38.45. Costs vary widely — the 90th percentile is $88.69 per claim, 2.3× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

38K

Providers

139

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for 64492? Based on 118 providers billing this code nationally.

Median

$38.45

Average

$50.13

Std Dev

$55.10

Max

$476.39

Percentile Distribution (Cost per Claim)

p10

$9.44

p25

$22.35

Median

$38.45

p75

$58.12

p90

$88.69

p95

$125.65

p99

$234.27

50% of providers bill between $22.35 and $58.12 per claim for this code.

90% bill between $9.44 and $88.69.

Top 1% bill above $234.27.

About This Procedure

HCPCS code 64492 was billed by 139 providers across 38K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.45

Providers Billing

118

National Spending

$2.0M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64492

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1154481984	$337K	$200.97	5.2× median	Top 10%
2	1932317740	$181K	$88.44	2.3× median	Above 75th
3	1407116361	$127K	$476.39	12.4× median	Top 1%
4	1891000550	$124K	$82.49	2.1× median	Above 75th
5	1871650739	$112K	$53.41	1.4× median	Above Median
6	1962405878	$101K	$66.85	1.7× median	Above 75th
7	1467418574	$71K	$38.21	1.0× median	Below Median
8	1821282666	$66K	$40.81	1.1× median	Above Median
9	1427230788	$64K	$49.47	1.3× median	Above Median
10	1457851578	$60K	$52.44	1.4× median	Above Median
11	1164664082	$52K	$42.28	1.1× median	Above Median
12	1942423579	$51K	$125.50	3.3× median	Top 10%
13	1265727762	$38K	$89.28	2.3× median	Top 10%
14	1952508582	$38K	$33.39	0.9× median	Below Median
15	1508067208	$37K	$18.98	0.5× median	Below Median
16	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$32K	$73.54	1.9× median	Above 75th
17	1659431443	$31K	$32.47	0.8× median	Below Median
18	1144526773	$29K	$88.22	2.3× median	Above 75th
19	1508285776	$28K	$27.24	0.7× median	Below Median
20	1245635390	$27K	$66.85	1.7× median	Above 75th

Showing top 20 of 139 providers billing this code

Related Procedures

64483$150.2M 64493$113.9M 64494$27.8M 64484$20.4M 64490$15.9M

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