64615
HCPCS Procedure Code
HCPCS code 64615 is the #950 most-billed Medicaid procedure code, with $55.3M in payments across 490K claims from 2018–2024. The national median cost per claim is $82.82. Costs vary widely — the 90th percentile is $188.45 per claim, 2.3× the median.
Total Paid
$55.3M
0.01% of all spending
Total Claims
490K
Providers
839
Avg Cost/Claim
$113
National Cost Distribution
How much do providers bill per claim for 64615? Based on 825 providers billing this code nationally.
Median
$82.82
Average
$104.11
Std Dev
$80.47
Max
$717.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.73 and $119.45 per claim for this code.
90% bill between $42.46 and $188.45.
Top 1% bill above $434.14.
About This Procedure
HCPCS code 64615 was billed by 839 providers across 490K claims, totaling $55.3M in Medicaid payments from 2018–2024. This code was used for 448K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.82
Providers Billing
825
National Spending
$55.3M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64615
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $2.3M |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1.4M |
| 3 | 1669588158 | $1.4M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.1M |
| 5 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $1.0M |
| 6 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $858K |
| 7 | University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital | $797K |
| 8 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $775K |
| 9 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $728K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $723K |
| 11 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $661K |
| 12 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $659K |
| 13 | University Of Washington Seattle, WA · Clinic/Center, Dental | $657K |
| 14 | 1528009412 | $621K |
| 15 | 1164491072 | $575K |
| 16 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $572K |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $555K |
| 18 | 1558392563 | $554K |
| 19 | 1306824420 | $526K |
| 20 | University Of Rochester Rochester, NY · General Acute Care Hospital | $511K |
Showing top 20 of 839 providers billing this code