21040
HCPCS Procedure Code
HCPCS code 21040 is the #5,305 most-billed Medicaid procedure code, with $233K in payments across 1,091 claims from 2018–2024. The national median cost per claim is $208.66.
Total Paid
$233K
0.00% of all spending
Total Claims
1,091
Providers
2
Avg Cost/Claim
$214
National Cost Distribution
How much do providers bill per claim for 21040? Based on 2 providers billing this code nationally.
Median
$208.66
Average
$208.66
Std Dev
$27.03
Max
$227.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $199.11 and $218.22 per claim for this code.
90% bill between $193.37 and $223.95.
Top 1% bill above $227.39.
About This Procedure
HCPCS code 21040 was billed by 2 providers across 1,091 claims, totaling $233K in Medicaid payments from 2018–2024. This code was used for 881 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$208.66
Providers Billing
2
National Spending
$233K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.