Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5240 of 11K

64625

HCPCS Procedure Code

HCPCS code 64625 is the #5,240 most-billed Medicaid procedure code, with $253K in payments across 672 claims from 2018–2024. The national median cost per claim is $350.14.

Total Paid

$253K

0.00% of all spending

Total Claims

672

Providers

10

Avg Cost/Claim

$377

National Cost Distribution

How much do providers bill per claim for 64625? Based on 9 providers billing this code nationally.

Median

$350.14

Average

$345.51

Std Dev

$344.84

Max

$1,160.73

Percentile Distribution (Cost per Claim)

p10
$32.94
p25
$136.66
Median
$350.14
p75
$402.86
p90
$606.64
p95
$883.68
p99
$1,105.32

50% of providers bill between $136.66 and $402.86 per claim for this code.

90% bill between $32.94 and $606.64.

Top 1% bill above $1,105.32.

About This Procedure

HCPCS code 64625 was billed by 10 providers across 672 claims, totaling $253K in Medicaid payments from 2018–2024. This code was used for 545 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$350.14

Providers Billing

9

National Spending

$253K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64625

#ProviderTotal Paid
11548557317$131K
21780066373$63K
31508285776$29K
41376596650$16K
51891076519$6K
61164734232$5K
71366697658$2K
81669674073$946
91861824559$666
101467733147$0

Showing top 10 of 10 providers billing this code