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#6685 of 11K

4000F

HCPCS Procedure Code

HCPCS code 4000F is the #6,685 most-billed Medicaid procedure code, with $48K in payments across 358K claims from 2018–2024. The national median cost per claim is $0.11. Costs vary widely — the 90th percentile is $12.48 per claim, 113.5× the median.

Total Paid

$48K

0.00% of all spending

Total Claims

358K

Providers

557

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4000F? Based on 50 providers billing this code nationally.

Median

$0.11

Average

$2.84

Std Dev

$5.02

Max

$21.48

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.11
p75
$3.48
p90
$12.48
p95
$14.76
p99
$18.56

50% of providers bill between $0.00 and $3.48 per claim for this code.

90% bill between $0.00 and $12.48.

Top 1% bill above $18.56.

About This Procedure

HCPCS code 4000F was billed by 557 providers across 358K claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 306K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.11

Providers Billing

50

National Spending

$48K

Avg/Median Ratio

25.82×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4000F

#ProviderTotal Paid
11770697278$24K
21346266848$6K
31306975875$2K
41437508314$2K
51902934680$2K
61043387327$2K
71912377813$2K
81235259607$1K
91891823498$1K
101295274538$986
111871579987$600
121588878474$525
131295706588$450
141700099512$400
151972631661$350
161548632508$325
171922155217$303
181467800599$300
191730377706$175
201104014703$175

Showing top 20 of 557 providers billing this code