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#5837 of 11K

4040F

HCPCS Procedure Code

HCPCS code 4040F is the #5,837 most-billed Medicaid procedure code, with $130K in payments across 868K claims from 2018–2024. The national median cost per claim is $0.15. Costs vary widely — the 90th percentile is $8.99 per claim, 59.9× the median.

Total Paid

$130K

0.00% of all spending

Total Claims

868K

Providers

1,221

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4040F? Based on 100 providers billing this code nationally.

Median

$0.15

Average

$3.53

Std Dev

$10.09

Max

$66.61

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.15
p75
$0.82
p90
$8.99
p95
$23.43
p99
$48.19

50% of providers bill between $0.00 and $0.82 per claim for this code.

90% bill between $0.00 and $8.99.

Top 1% bill above $48.19.

About This Procedure

HCPCS code 4040F was billed by 1,221 providers across 868K claims, totaling $130K in Medicaid payments from 2018–2024. This code was used for 711K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.15

Providers Billing

100

National Spending

$130K

Avg/Median Ratio

23.53×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4040F

#ProviderTotal Paid
11942432687$29K
21114105384$24K
31134543457$10K
41588109821$9K
51184775041$9K
61245717065$8K
71245618677$7K
81700886322$6K
91467439463$3K
101922155217$3K
111770663866$3K
121538121363$2K
131245500040$2K
141942448113$2K
151508886805$2K
161932400025$1K
171447282157$988
181326091380$922
191689888109$755
201841234861$740

Showing top 20 of 1,221 providers billing this code