64555
HCPCS Procedure Code
HCPCS code 64555 is the #5,328 most-billed Medicaid procedure code, with $228K in payments across 291 claims from 2018–2024. The national median cost per claim is $248.11. Costs vary widely — the 90th percentile is $3,465.98 per claim, 14.0× the median.
Total Paid
$228K
0.00% of all spending
Total Claims
291
Providers
6
Avg Cost/Claim
$782
National Cost Distribution
How much do providers bill per claim for 64555? Based on 3 providers billing this code nationally.
Median
$248.11
Average
$1,547.60
Std Dev
$2,358.87
Max
$4,270.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $186.17 and $2,259.28 per claim for this code.
90% bill between $149.01 and $3,465.98.
Top 1% bill above $4,190.00.
About This Procedure
HCPCS code 64555 was billed by 6 providers across 291 claims, totaling $228K in Medicaid payments from 2018–2024. This code was used for 237 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$248.11
Providers Billing
3
National Spending
$228K
Avg/Median Ratio
6.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 64555
| # | Provider | Total Paid |
|---|---|---|
| 1 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $214K |
| 2 | 1033495221 | $9K |
| 3 | 1467917435 | $5K |
| 4 | 1114013315 | $0 |
| 5 | 1538481080 | $0 |
| 6 | 1932824331 | $0 |
Showing top 6 of 6 providers billing this code