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#7746 of 11K

64719

HCPCS Procedure Code

HCPCS code 64719 is the #7,746 most-billed Medicaid procedure code, with $11K in payments across 37 claims from 2018–2024. The national median cost per claim is $216.48. Costs vary widely — the 90th percentile is $480.94 per claim, 2.2× the median.

Total Paid

$11K

0.00% of all spending

Total Claims

37

Providers

3

Avg Cost/Claim

$292

National Cost Distribution

How much do providers bill per claim for 64719? Based on 3 providers billing this code nationally.

Median

$216.48

Average

$285.14

Std Dev

$235.23

Max

$547.05

Percentile Distribution (Cost per Claim)

p10
$116.80
p25
$154.18
Median
$216.48
p75
$381.77
p90
$480.94
p95
$514.00
p99
$540.44

50% of providers bill between $154.18 and $381.77 per claim for this code.

90% bill between $116.80 and $480.94.

Top 1% bill above $540.44.

About This Procedure

HCPCS code 64719 was billed by 3 providers across 37 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 36 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$216.48

Providers Billing

3

National Spending

$11K

Avg/Median Ratio

1.32×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.