0240U
HCPCS Procedure Code
HCPCS code 0240U is the #1,094 most-billed Medicaid procedure code, with $41.3M in payments across 475K claims from 2018–2024. The national median cost per claim is $89.76.
Total Paid
$41.3M
0.00% of all spending
Total Claims
475K
Providers
438
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for 0240U? Based on 388 providers billing this code nationally.
Median
$89.76
Average
$81.78
Std Dev
$53.08
Max
$342.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.23 and $123.77 per claim for this code.
90% bill between $5.74 and $142.63.
Top 1% bill above $186.05.
About This Procedure
HCPCS code 0240U was billed by 438 providers across 475K claims, totaling $41.3M in Medicaid payments from 2018–2024. This code was used for 381K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.76
Providers Billing
388
National Spending
$41.3M
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0240U
| # | Provider | Total Paid |
|---|---|---|
| 1 | Wakemed Raleigh, NC · General Acute Care Hospital | $4.0M |
| 2 | 1902534845 | $3.0M |
| 3 | 1174266787 | $2.8M |
| 4 | United Eg Llc Lombard, IL · Clinical Medical Laboratory | $2.3M |
| 5 | 1881793750 | $1.8M |
| 6 | Holzer Hospital Foundation Gallipolis, OH · General Acute Care Hospital Rural | $1.2M |
| 7 | North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital | $1.1M |
| 8 | 1740208081 | $1.1M |
| 9 | 1467546135 | $981K |
| 10 | 1346247962 | $933K |
| 11 | 1235253485 | $819K |
| 12 | 1356444814 | $651K |
| 13 | 1538163886 | $594K |
| 14 | 1902548647 | $524K |
| 15 | 1477876514 | $497K |
| 16 | 1841242542 | $478K |
| 17 | 1275536799 | $464K |
| 18 | 1023006434 | $435K |
| 19 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $432K |
| 20 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $411K |
Showing top 20 of 438 providers billing this code