Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1691 of 11K

64721

HCPCS Procedure Code

HCPCS code 64721 is the #1,691 most-billed Medicaid procedure code, with $16.0M in payments across 31K claims from 2018–2024. The national median cost per claim is $327.41. Costs vary widely — the 90th percentile is $854.50 per claim, 2.6× the median.

Total Paid

$16.0M

0.00% of all spending

Total Claims

31K

Providers

282

Avg Cost/Claim

$521

National Cost Distribution

How much do providers bill per claim for 64721? Based on 275 providers billing this code nationally.

Median

$327.41

Average

$440.02

Std Dev

$304.12

Max

$1,515.96

Percentile Distribution (Cost per Claim)

p10
$157.15
p25
$213.72
Median
$327.41
p75
$613.70
p90
$854.50
p95
$994.46
p99
$1,403.31

50% of providers bill between $213.72 and $613.70 per claim for this code.

90% bill between $157.15 and $854.50.

Top 1% bill above $1,403.31.

About This Procedure

HCPCS code 64721 was billed by 282 providers across 31K claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$327.41

Providers Billing

275

National Spending

$16.0M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 64721

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.5M
21881690949$856K
3St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$806K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$728K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$663K
6Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$561K
71265931653$547K
81831116441$484K
91841286267$440K
101043293608$350K
111619975331$346K
12Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$322K
131538345251$278K
14Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$262K
151184828451$231K
16The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$218K
17Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$217K
18University Of Kentucky

Lexington, KY · General Acute Care Hospital

$205K
191831109560$188K
201417961137$186K

Showing top 20 of 282 providers billing this code