10040
HCPCS Procedure Code
HCPCS code 10040 is the #935 most-billed Medicaid procedure code, with $56.8M in payments across 667K claims from 2018–2024. The national median cost per claim is $70.50.
Total Paid
$56.8M
0.01% of all spending
Total Claims
667K
Providers
264
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for 10040? Based on 259 providers billing this code nationally.
Median
$70.50
Average
$76.32
Std Dev
$39.46
Max
$275.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.49 and $95.67 per claim for this code.
90% bill between $34.01 and $115.61.
Top 1% bill above $254.09.
About This Procedure
HCPCS code 10040 was billed by 264 providers across 667K claims, totaling $56.8M in Medicaid payments from 2018–2024. This code was used for 551K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.50
Providers Billing
259
National Spending
$56.8M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 10040
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336343268 | $6.7M |
| 2 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $6.2M |
| 3 | 1134201460 | $4.3M |
| 4 | 1629219522 | $2.5M |
| 5 | 1215096375 | $2.1M |
| 6 | 1134349954 | $1.5M |
| 7 | 1427343391 | $1.4M |
| 8 | 1093068611 | $1.4M |
| 9 | 1508895384 | $1.3M |
| 10 | 1609826163 | $1.2M |
| 11 | 1174565600 | $1.2M |
| 12 | 1083610521 | $1.2M |
| 13 | 1487659512 | $1.1M |
| 14 | 1285231506 | $981K |
| 15 | 1013994839 | $957K |
| 16 | 1649258286 | $865K |
| 17 | 1386719425 | $800K |
| 18 | 1902960099 | $729K |
| 19 | 1568873727 | $717K |
| 20 | 1619179009 | $673K |
Showing top 20 of 264 providers billing this code