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#7043 of 11K

0640T

HCPCS Procedure Code

HCPCS code 0640T is the #7,043 most-billed Medicaid procedure code, with $30K in payments across 5,135 claims from 2018–2024. The national median cost per claim is $3.15.

Total Paid

$30K

0.00% of all spending

Total Claims

5,135

Providers

8

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 0640T? Based on 7 providers billing this code nationally.

Median

$3.15

Average

$2.98

Std Dev

$2.38

Max

$6.80

Percentile Distribution (Cost per Claim)

p10
$0.57
p25
$1.05
Median
$3.15
p75
$4.32
p90
$5.63
p95
$6.22
p99
$6.68

50% of providers bill between $1.05 and $4.32 per claim for this code.

90% bill between $0.57 and $5.63.

Top 1% bill above $6.68.

About This Procedure

HCPCS code 0640T was billed by 8 providers across 5,135 claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 2,206 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.15

Providers Billing

7

National Spending

$30K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0640T

#ProviderTotal Paid
11841657053$29K
21669845327$1K
31275869802$277
41679878268$88
51629098660$87
61205176096$69
71700112745$18
81063848968$0

Showing top 8 of 8 providers billing this code