64635
HCPCS Procedure Code
HCPCS code 64635 is the #753 most-billed Medicaid procedure code, with $88.5M in payments across 343K claims from 2018–2024. The national median cost per claim is $207.78. Costs vary widely — the 90th percentile is $560.01 per claim, 2.7× the median.
Total Paid
$88.5M
0.01% of all spending
Total Claims
343K
Providers
729
Avg Cost/Claim
$258
National Cost Distribution
How much do providers bill per claim for 64635? Based on 719 providers billing this code nationally.
Median
$207.78
Average
$277.85
Std Dev
$240.87
Max
$1,919.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $125.89 and $362.36 per claim for this code.
90% bill between $69.05 and $560.01.
Top 1% bill above $1,074.27.
About This Procedure
HCPCS code 64635 was billed by 729 providers across 343K claims, totaling $88.5M in Medicaid payments from 2018–2024. This code was used for 263K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$207.78
Providers Billing
719
National Spending
$88.5M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 64635
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225440969 | $3.0M |
| 2 | 1821471913 | $2.2M |
| 3 | 1871650739 | $2.2M |
| 4 | 1225450588 | $2.0M |
| 5 | 1841619731 | $1.8M |
| 6 | 1306280177 | $1.7M |
| 7 | 1851531248 | $1.6M |
| 8 | 1285767822 | $1.5M |
| 9 | 1154365062 | $1.4M |
| 10 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $1.4M |
| 11 | 1518998764 | $1.3M |
| 12 | 1891000550 | $1.2M |
| 13 | 1215233986 | $1.2M |
| 14 | 1205364981 | $1.2M |
| 15 | 1043625221 | $1.1M |
| 16 | 1427230788 | $1.0M |
| 17 | 1457306888 | $979K |
| 18 | 1457851578 | $868K |
| 19 | 1619219433 | $846K |
| 20 | 1376092205 | $839K |
Showing top 20 of 729 providers billing this code