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#3998 of 11K

00940

HCPCS Procedure Code

HCPCS code 00940 is the #3,998 most-billed Medicaid procedure code, with $942K in payments across 20K claims from 2018–2024. The national median cost per claim is $46.95. Costs vary widely — the 90th percentile is $121.71 per claim, 2.6× the median.

Total Paid

$942K

0.00% of all spending

Total Claims

20K

Providers

60

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for 00940? Based on 52 providers billing this code nationally.

Median

$46.95

Average

$91.50

Std Dev

$193.12

Max

$1,384.00

Percentile Distribution (Cost per Claim)

p10
$24.98
p25
$35.13
Median
$46.95
p75
$83.77
p90
$121.71
p95
$249.24
p99
$856.65

50% of providers bill between $35.13 and $83.77 per claim for this code.

90% bill between $24.98 and $121.71.

Top 1% bill above $856.65.

About This Procedure

HCPCS code 00940 was billed by 60 providers across 20K claims, totaling $942K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.95

Providers Billing

52

National Spending

$942K

Avg/Median Ratio

1.95×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 00940

#ProviderTotal Paid
11871986372$108K
21801849146$102K
31972126209$86K
41225016926$61K
51669581997$57K
61093767766$51K
71265709893$49K
81417994872$48K
91558314427$40K
101407821796$36K
111053354233$35K
121053366377$30K
131487609475$29K
141164848453$24K
151497797153$18K
161891235404$18K
171003053794$17K
181821448150$16K
191154407013$11K
201295776052$11K

Showing top 20 of 60 providers billing this code