64566
HCPCS Procedure Code
HCPCS code 64566 is the #3,436 most-billed Medicaid procedure code, with $1.7M in payments across 27K claims from 2018–2024. The national median cost per claim is $60.22. Costs vary widely — the 90th percentile is $149.02 per claim, 2.5× the median.
Total Paid
$1.7M
0.00% of all spending
Total Claims
27K
Providers
52
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 64566? Based on 45 providers billing this code nationally.
Median
$60.22
Average
$77.62
Std Dev
$84.71
Max
$502.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.85 and $106.00 per claim for this code.
90% bill between $6.01 and $149.02.
Top 1% bill above $378.14.
About This Procedure
HCPCS code 64566 was billed by 52 providers across 27K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.22
Providers Billing
45
National Spending
$1.7M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64566
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043300114 | $295K |
| 2 | 1417976705 | $246K |
| 3 | 1992837702 | $183K |
| 4 | 1417211533 | $179K |
| 5 | 1831381664 | $142K |
| 6 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $120K |
| 7 | 1609823004 | $97K |
| 8 | 1700277647 | $48K |
| 9 | 1689601536 | $37K |
| 10 | 1740204379 | $35K |
| 11 | 1982910741 | $35K |
| 12 | 1699786293 | $30K |
| 13 | 1922049014 | $28K |
| 14 | 1396794574 | $26K |
| 15 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $20K |
| 16 | University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital | $20K |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $18K |
| 18 | 1730191743 | $17K |
| 19 | 1346563582 | $14K |
| 20 | 1609850668 | $11K |
Showing top 20 of 52 providers billing this code