5140X
HCPCS Procedure Code
HCPCS code 5140X is the #1,870 most-billed Medicaid procedure code, with $12.4M in payments across 148K claims from 2018–2024. The national median cost per claim is $336.08.
Total Paid
$12.4M
0.00% of all spending
Total Claims
148K
Providers
8
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for 5140X? Based on 8 providers billing this code nationally.
Median
$336.08
Average
$255.18
Std Dev
$151.12
Max
$412.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $95.83 and $359.10 per claim for this code.
90% bill between $61.62 and $386.56.
Top 1% bill above $409.87.
About This Procedure
HCPCS code 5140X was billed by 8 providers across 148K claims, totaling $12.4M in Medicaid payments from 2018–2024. This code was used for 6,743 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$336.08
Providers Billing
8
National Spending
$12.4M
Avg/Median Ratio
0.76×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 5140X
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265867394 | $8.4M |
| 2 | 1225681224 | $3.0M |
| 3 | 1104204965 | $606K |
| 4 | 1215354873 | $202K |
| 5 | 1497360671 | $85K |
| 6 | 1487021184 | $84K |
| 7 | 1649710849 | $21K |
| 8 | 1073727988 | $18K |
Showing top 8 of 8 providers billing this code