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#8047 of 11K

4037F

HCPCS Procedure Code

HCPCS code 4037F is the #8,047 most-billed Medicaid procedure code, with $7K in payments across 339K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $1.82 per claim, 182.0× the median.

Total Paid

$7K

0.00% of all spending

Total Claims

339K

Providers

653

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4037F? Based on 44 providers billing this code nationally.

Median

$0.01

Average

$2.26

Std Dev

$7.42

Max

$34.14

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.40
p90
$1.82
p95
$20.42
p99
$32.03

50% of providers bill between $0.00 and $0.40 per claim for this code.

90% bill between $0.00 and $1.82.

Top 1% bill above $32.03.

About This Procedure

HCPCS code 4037F was billed by 653 providers across 339K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 306K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

44

National Spending

$7K

Avg/Median Ratio

226.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4037F

#ProviderTotal Paid
11306954631$2K
2Marillac Clinic Inc.

Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC)

$1K
31760950588$814
41265585038$649
51801857172$421
61679591440$400
71821210329$270
81467606681$236
91720171242$164
101700977188$141
111497790661$75
121558367649$75
131720181522$71
141104120633$55
151154517118$40
161649548017$24
171063411874$20
181851483291$19
191447544010$16
201831443761$14

Showing top 20 of 653 providers billing this code