64561
HCPCS Procedure Code
HCPCS code 64561 is the #5,239 most-billed Medicaid procedure code, with $253K in payments across 417 claims from 2018–2024. The national median cost per claim is $219.75. Costs vary widely — the 90th percentile is $827.07 per claim, 3.8× the median.
Total Paid
$253K
0.00% of all spending
Total Claims
417
Providers
3
Avg Cost/Claim
$608
National Cost Distribution
How much do providers bill per claim for 64561? Based on 3 providers billing this code nationally.
Median
$219.75
Average
$451.65
Std Dev
$457.72
Max
$978.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $188.02 and $599.33 per claim for this code.
90% bill between $168.97 and $827.07.
Top 1% bill above $963.72.
About This Procedure
HCPCS code 64561 was billed by 3 providers across 417 claims, totaling $253K in Medicaid payments from 2018–2024. This code was used for 230 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$219.75
Providers Billing
3
National Spending
$253K
Avg/Median Ratio
2.06×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.