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#8421 of 11K

64611

HCPCS Procedure Code

HCPCS code 64611 is the #8,421 most-billed Medicaid procedure code, with $3K in payments across 51 claims from 2018–2024. The national median cost per claim is $82.00.

Total Paid

$3K

0.00% of all spending

Total Claims

51

Providers

3

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 64611? Based on 3 providers billing this code nationally.

Median

$82.00

Average

$73.42

Std Dev

$58.01

Max

$126.66

Percentile Distribution (Cost per Claim)

p10
$25.68
p25
$46.80
Median
$82.00
p75
$104.33
p90
$117.73
p95
$122.19
p99
$125.76

50% of providers bill between $46.80 and $104.33 per claim for this code.

90% bill between $25.68 and $117.73.

Top 1% bill above $125.76.

About This Procedure

HCPCS code 64611 was billed by 3 providers across 51 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 49 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.00

Providers Billing

3

National Spending

$3K

Avg/Median Ratio

0.90×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.