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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871986372 | $108K |
| 2 | 1801849146 | $102K |
| 3 | 1972126209 | $86K |
| 4 | 1225016926 | $61K |
| 5 | 1669581997 | $57K |
| 6 | 1093767766 | $51K |
| 7 | 1265709893 | $49K |
| 8 | 1417994872 | $48K |
| 9 | 1558314427 | $40K |
| 10 | 1407821796 | $36K |
| 11 | 1053354233 | $35K |
| 12 | 1053366377 | $30K |
| 13 | 1487609475 | $29K |
| 14 | 1164848453 | $24K |
| 15 | 1497797153 | $18K |
| 16 | 1891235404 | $18K |
| 17 | 1003053794 | $17K |
| 18 | 1821448150 | $16K |
| 19 | 1154407013 | $11K |
| 20 | 1295776052 | $11K |
Showing top 20 of 60 providers billing this code