64634
HCPCS Procedure Code
HCPCS code 64634 is the #2,676 most-billed Medicaid procedure code, with $4.2M in payments across 30K claims from 2018–2024. The national median cost per claim is $96.82. Costs vary widely — the 90th percentile is $351.54 per claim, 3.6× the median.
Total Paid
$4.2M
0.00% of all spending
Total Claims
30K
Providers
117
Avg Cost/Claim
$141
National Cost Distribution
How much do providers bill per claim for 64634? Based on 99 providers billing this code nationally.
Median
$96.82
Average
$154.90
Std Dev
$187.83
Max
$910.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.67 and $171.33 per claim for this code.
90% bill between $16.35 and $351.54.
Top 1% bill above $887.43.
About This Procedure
HCPCS code 64634 was billed by 117 providers across 30K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$96.82
Providers Billing
99
National Spending
$4.2M
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64634
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891000550 | $591K |
| 2 | 1871650739 | $541K |
| 3 | 1225440969 | $371K |
| 4 | 1154481984 | $364K |
| 5 | 1427009026 | $340K |
| 6 | 1508285776 | $213K |
| 7 | 1427230788 | $156K |
| 8 | 1457851578 | $147K |
| 9 | 1881986743 | $102K |
| 10 | 1407116361 | $100K |
| 11 | 1639418858 | $82K |
| 12 | 1639142706 | $80K |
| 13 | 1821282666 | $70K |
| 14 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $56K |
| 15 | 1548557317 | $56K |
| 16 | 1467418574 | $53K |
| 17 | 1245635390 | $52K |
| 18 | 1932317740 | $50K |
| 19 | 1538227897 | $40K |
| 20 | 1447244256 | $38K |
Showing top 20 of 117 providers billing this code