64493
HCPCS Procedure Code
HCPCS code 64493 is the #654 most-billed Medicaid procedure code, with $113.9M in payments across 734K claims from 2018–2024. The national median cost per claim is $103.44. Costs vary widely — the 90th percentile is $436.39 per claim, 4.2× the median.
Total Paid
$113.9M
0.01% of all spending
Total Claims
734K
Providers
1K
Avg Cost/Claim
$155
National Cost Distribution
How much do providers bill per claim for 64493? Based on 1K providers billing this code nationally.
Median
$103.44
Average
$179.11
Std Dev
$207.02
Max
$1,728.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $58.09 and $211.38 per claim for this code.
90% bill between $32.92 and $436.39.
Top 1% bill above $959.19.
About This Procedure
HCPCS code 64493 was billed by 1K providers across 734K claims, totaling $113.9M in Medicaid payments from 2018–2024. This code was used for 532K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$103.44
Providers Billing
1K
National Spending
$113.9M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64493
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $2.3M |
| 2 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $1.8M |
| 3 | 1225450588 | $1.8M |
| 4 | 1154365062 | $1.6M |
| 5 | 1851531248 | $1.3M |
| 6 | 1285007989 | $1.3M |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.3M |
| 8 | Stamford Hospital Stamford, CT · Hospitalist | $1.2M |
| 9 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.2M |
| 10 | 1154481984 | $1.1M |
| 11 | Edward W Sparrow Hospital Association Lansing, MI · Rehabilitation, Substance Use Disorder Unit | $1.1M |
| 12 | 1225440969 | $1.1M |
| 13 | 1659392819 | $1.1M |
| 14 | 1962405878 | $1.0M |
| 15 | 1306280177 | $1.0M |
| 16 | 1831109560 | $985K |
| 17 | 1447244256 | $978K |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $953K |
| 19 | 1821471913 | $900K |
| 20 | 1629404918 | $890K |
Showing top 20 of 1K providers billing this code