40819
HCPCS Procedure Code
HCPCS code 40819 is the #3,645 most-billed Medicaid procedure code, with $1.4M in payments across 6,616 claims from 2018–2024. The national median cost per claim is $159.02. Costs vary widely — the 90th percentile is $447.81 per claim, 2.8× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
6,616
Providers
18
Avg Cost/Claim
$209
National Cost Distribution
How much do providers bill per claim for 40819? Based on 18 providers billing this code nationally.
Median
$159.02
Average
$285.10
Std Dev
$370.62
Max
$1,602.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $138.98 and $228.12 per claim for this code.
90% bill between $112.68 and $447.81.
Top 1% bill above $1,475.85.
About This Procedure
HCPCS code 40819 was billed by 18 providers across 6,616 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 5,544 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$159.02
Providers Billing
18
National Spending
$1.4M
Avg/Median Ratio
1.79×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 40819
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629076518 | $468K |
| 2 | 1275809394 | $336K |
| 3 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $176K |
| 4 | 1306155353 | $106K |
| 5 | 1851423883 | $71K |
| 6 | 1265095780 | $41K |
| 7 | 1649453275 | $37K |
| 8 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $35K |
| 9 | 1679851455 | $33K |
| 10 | 1508002072 | $22K |
| 11 | 1083824684 | $11K |
| 12 | 1699819979 | $10K |
| 13 | 1932567468 | $8K |
| 14 | 1366685810 | $8K |
| 15 | 1952525636 | $8K |
| 16 | 1255352266 | $6K |
| 17 | 1144568999 | $4K |
| 18 | 1497758155 | $2K |
Showing top 18 of 18 providers billing this code