#3602 of 11K

64612

HCPCS Procedure Code

HCPCS code 64612 is the #3,602 most-billed Medicaid procedure code, with $1.4M in payments across 9,929 claims from 2018–2024. The national median cost per claim is $98.05.

Total Paid

$1.4M

0.00% of all spending

Total Claims

9,929

Providers

Avg Cost/Claim

$145

National Cost Distribution

How much do providers bill per claim for 64612? Based on 31 providers billing this code nationally.

Median

$98.05

Average

$114.38

Std Dev

$64.00

Max

$304.38

Percentile Distribution (Cost per Claim)

p10

$59.62

p25

$69.79

Median

$98.05

p75

$129.45

p90

$187.95

p95

$247.05

p99

$300.94

50% of providers bill between $69.79 and $129.45 per claim for this code.

90% bill between $59.62 and $187.95.

Top 1% bill above $300.94.

About This Procedure

HCPCS code 64612 was billed by 31 providers across 9,929 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 8,834 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.05

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64612

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639101751	$540K	$304.38	3.1× median	Top 1%
2	1821285974	$176K	$92.31	0.9× median	Below Median
3	1861742991	$127K	$121.43	1.2× median	Above Median
4	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$124K	$292.90	3.0× median	Top 10%
5	1194958223	$89K	$126.33	1.3× median	Above Median
6	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$58K	$166.22	1.7× median	Above 75th
7	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$51K	$75.49	0.8× median	Below Median
8	1326098005	$34K	$67.30	0.7× median	Below Median
9	1225085855	$30K	$98.05	1.0× median	Above Median
10	1477582526	$29K	$110.69	1.1× median	Above Median
11	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$26K	$132.56	1.4× median	Above 75th
12	1104868520	$23K	$87.24	0.9× median	Below Median
13	1679660617	$20K	$104.34	1.1× median	Above Median
14	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$18K	$149.73	1.5× median	Above 75th
15	1144217894	$18K	$77.10	0.8× median	Below Median
16	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$17K	$174.63	1.8× median	Above 75th
17	1952643512	$17K	$49.18	0.5× median	Below Median
18	1164720942	$8K	$187.95	1.9× median	Above 75th
19	1073787537	$7K	$123.57	1.3× median	Above Median
20	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$6K	$201.20	2.1× median	Top 10%

Showing top 20 of 31 providers billing this code

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