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#6647 of 11K

40800

HCPCS Procedure Code

HCPCS code 40800 is the #6,647 most-billed Medicaid procedure code, with $50K in payments across 577 claims from 2018–2024. The national median cost per claim is $120.15.

Total Paid

$50K

0.00% of all spending

Total Claims

577

Providers

9

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for 40800? Based on 8 providers billing this code nationally.

Median

$120.15

Average

$130.16

Std Dev

$62.50

Max

$219.55

Percentile Distribution (Cost per Claim)

p10
$54.67
p25
$91.76
Median
$120.15
p75
$177.30
p90
$207.00
p95
$213.28
p99
$218.29

50% of providers bill between $91.76 and $177.30 per claim for this code.

90% bill between $54.67 and $207.00.

Top 1% bill above $218.29.

About This Procedure

HCPCS code 40800 was billed by 9 providers across 577 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 451 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$120.15

Providers Billing

8

National Spending

$50K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 40800

#ProviderTotal Paid
1Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$14K
21902947807$12K
31437529245$8K
41912909912$6K
5The Brookdale Hospital Medical Center

Brooklyn, NY · General Acute Care Hospital

$3K
61053595579$2K
71427536325$2K
81457643991$2K
91780359794$0

Showing top 9 of 9 providers billing this code

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