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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306954631 | $2K |
| 2 | Marillac Clinic Inc. Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC) | $1K |
| 3 | 1760950588 | $814 |
| 4 | 1265585038 | $649 |
| 5 | 1801857172 | $421 |
| 6 | 1679591440 | $400 |
| 7 | 1821210329 | $270 |
| 8 | 1467606681 | $236 |
| 9 | 1720171242 | $164 |
| 10 | 1700977188 | $141 |
| 11 | 1497790661 | $75 |
| 12 | 1558367649 | $75 |
| 13 | 1720181522 | $71 |
| 14 | 1104120633 | $55 |
| 15 | 1154517118 | $40 |
| 16 | 1649548017 | $24 |
| 17 | 1063411874 | $20 |
| 18 | 1851483291 | $19 |
| 19 | 1447544010 | $16 |
| 20 | 1831443761 | $14 |
Showing top 20 of 653 providers billing this code