0940
HCPCS Procedure Code
HCPCS code 0940 is the #3,843 most-billed Medicaid procedure code, with $1.1M in payments across 4K claims from 2018–2024. The national median cost per claim is $22.14. Costs vary widely — the 90th percentile is $230.30 per claim, 10.4× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
4K
Providers
12
Avg Cost/Claim
$285
National Cost Distribution
How much do providers bill per claim for 0940? Based on 7 providers billing this code nationally.
Median
$22.14
Average
$90.37
Std Dev
$181.44
Max
$500.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.88 and $37.16 per claim for this code.
90% bill between $7.41 and $230.30.
Top 1% bill above $473.52.
About This Procedure
HCPCS code 0940 was billed by 12 providers across 4K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.14
Providers Billing
7
National Spending
$1.1M
Avg/Median Ratio
4.08×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0940
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992779417 | $1.1M |
| 2 | 1902844988 | $17K |
| 3 | 1902803315 | $8K |
| 4 | 1477587632 | $4K |
| 5 | 1194711952 | $4K |
| 6 | 1336173269 | $2K |
| 7 | 1821250762 | $110 |
| 8 | 1780668434 | $0 |
| 9 | 1518951300 | $0 |
| 10 | 1811080526 | $0 |
| 11 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 12 | 1588663769 | $0 |
Showing top 12 of 12 providers billing this code