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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942432687 | $29K |
| 2 | 1114105384 | $24K |
| 3 | 1134543457 | $10K |
| 4 | 1588109821 | $9K |
| 5 | 1184775041 | $9K |
| 6 | 1245717065 | $8K |
| 7 | 1245618677 | $7K |
| 8 | 1700886322 | $6K |
| 9 | 1467439463 | $3K |
| 10 | 1922155217 | $3K |
| 11 | 1770663866 | $3K |
| 12 | 1538121363 | $2K |
| 13 | 1245500040 | $2K |
| 14 | 1942448113 | $2K |
| 15 | 1508886805 | $2K |
| 16 | 1932400025 | $1K |
| 17 | 1447282157 | $988 |
| 18 | 1326091380 | $922 |
| 19 | 1689888109 | $755 |
| 20 | 1841234861 | $740 |
Showing top 20 of 1,221 providers billing this code