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

#1782 of 11K

94664

HCPCS Procedure Code

HCPCS code 94664 is the #1,782 most-billed Medicaid procedure code, with $14.0M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $8.88. Costs vary widely — the 90th percentile is $18.51 per claim, 2.1× the median.

Total Paid

$14.0M

0.00% of all spending

Total Claims

1.5M

Providers

2,285

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 94664? Based on 2,049 providers billing this code nationally.

Median

$8.88

Average

$11.86

Std Dev

$20.03

Max

$380.89

Percentile Distribution (Cost per Claim)

p10
$0.99
p25
$4.03
Median
$8.88
p75
$12.81
p90
$18.51
p95
$29.76
p99
$90.52

50% of providers bill between $4.03 and $12.81 per claim for this code.

90% bill between $0.99 and $18.51.

Top 1% bill above $90.52.

About This Procedure

HCPCS code 94664 was billed by 2,285 providers across 1.5M claims, totaling $14.0M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.88

Providers Billing

2,049

National Spending

$14.0M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94664

#ProviderTotal Paid
1The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$388K
21447650486$297K
31417919531$221K
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$216K
51750366118$203K
61548538200$192K
71982799375$183K
8Children's Hospital

New Orleans, LA · General Acute Care Hospital Children

$182K
91700831724$170K
10Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$145K
11Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$144K
12The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$132K
131215174958$126K
141437605532$124K
151760709265$123K
161144228446$118K
17Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$116K
18The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$112K
191841573870$105K
20Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$100K

Showing top 20 of 2,285 providers billing this code