64643
HCPCS Procedure Code
HCPCS code 64643 is the #1,693 most-billed Medicaid procedure code, with $16.0M in payments across 140K claims from 2018–2024. The national median cost per claim is $58.21. Costs vary widely — the 90th percentile is $213.36 per claim, 3.7× the median.
Total Paid
$16.0M
0.00% of all spending
Total Claims
140K
Providers
272
Avg Cost/Claim
$114
National Cost Distribution
How much do providers bill per claim for 64643? Based on 258 providers billing this code nationally.
Median
$58.21
Average
$102.45
Std Dev
$154.53
Max
$1,293.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.58 and $99.86 per claim for this code.
90% bill between $14.97 and $213.36.
Top 1% bill above $815.44.
About This Procedure
HCPCS code 64643 was billed by 272 providers across 140K claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 124K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.21
Providers Billing
258
National Spending
$16.0M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64643
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.8M |
| 2 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $909K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $822K |
| 4 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $817K |
| 5 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $777K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $638K |
| 7 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $554K |
| 8 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $497K |
| 9 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $471K |
| 10 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $461K |
| 11 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $401K |
| 12 | 1669617197 | $343K |
| 13 | 1508819228 | $338K |
| 14 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $321K |
| 15 | 1255354130 | $267K |
| 16 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $251K |
| 17 | 1306156138 | $248K |
| 18 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $203K |
| 19 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $190K |
| 20 | 1982793139 | $175K |
Showing top 20 of 272 providers billing this code