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#3843 of 11K

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)

p10
$7.41
p25
$14.88
Median
$22.14
p75
$37.16
p90
$230.30
p95
$365.42
p99
$473.52

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

#ProviderTotal Paid
11992779417$1.1M
21902844988$17K
31902803315$8K
41477587632$4K
51194711952$4K
61336173269$2K
71821250762$110
81780668434$0
91518951300$0
101811080526$0
11University Of California Irvine

Orange, CA · General Acute Care Hospital

$0
121588663769$0

Showing top 12 of 12 providers billing this code