64640
HCPCS Procedure Code
HCPCS code 64640 is the #3,076 most-billed Medicaid procedure code, with $2.6M in payments across 24K claims from 2018–2024. The national median cost per claim is $74.80. Costs vary widely — the 90th percentile is $224.65 per claim, 3.0× the median.
Total Paid
$2.6M
0.00% of all spending
Total Claims
24K
Providers
72
Avg Cost/Claim
$108
National Cost Distribution
How much do providers bill per claim for 64640? Based on 68 providers billing this code nationally.
Median
$74.80
Average
$146.20
Std Dev
$303.14
Max
$2,334.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.29 and $125.16 per claim for this code.
90% bill between $17.08 and $224.65.
Top 1% bill above $1,374.98.
About This Procedure
HCPCS code 64640 was billed by 72 providers across 24K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.80
Providers Billing
68
National Spending
$2.6M
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64640
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Corporation Boston, MA · Clinic/Center | $985K |
| 2 | 1205129145 | $368K |
| 3 | 1942317284 | $351K |
| 4 | 1295701951 | $122K |
| 5 | 1225119175 | $73K |
| 6 | 1669462362 | $71K |
| 7 | 1548344393 | $61K |
| 8 | 1508285776 | $59K |
| 9 | 1164475539 | $37K |
| 10 | 1447352836 | $32K |
| 11 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $30K |
| 12 | 1205364981 | $30K |
| 13 | 1346249968 | $25K |
| 14 | 1356472039 | $23K |
| 15 | 1467550897 | $21K |
| 16 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $20K |
| 17 | 1316191679 | $20K |
| 18 | 1710336243 | $16K |
| 19 | 1306952726 | $16K |
| 20 | 1427230788 | $15K |
Showing top 20 of 72 providers billing this code