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#588 of 11K

5140Z

HCPCS Procedure Code

HCPCS code 5140Z is the #588 most-billed Medicaid procedure code, with $137.8M in payments across 892K claims from 2018–2024. The national median cost per claim is $555.49.

Total Paid

$137.8M

0.01% of all spending

Total Claims

892K

Providers

21

Avg Cost/Claim

$154

National Cost Distribution

How much do providers bill per claim for 5140Z? Based on 21 providers billing this code nationally.

Median

$555.49

Average

$417.37

Std Dev

$226.78

Max

$637.93

Percentile Distribution (Cost per Claim)

p10
$107.37
p25
$112.70
Median
$555.49
p75
$605.98
p90
$614.00
p95
$635.26
p99
$637.40

50% of providers bill between $112.70 and $605.98 per claim for this code.

90% bill between $107.37 and $614.00.

Top 1% bill above $637.40.

About This Procedure

HCPCS code 5140Z was billed by 21 providers across 892K claims, totaling $137.8M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$555.49

Providers Billing

21

National Spending

$137.8M

Avg/Median Ratio

0.75×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 5140Z

#ProviderTotal Paid
11265867394$80.1M
21225681224$13.8M
31649710849$12.4M
41619189941$8.8M
51497360671$5.4M
61528734985$3.0M
71104204965$2.8M
81346639739$2.1M
91447770748$2.1M
101760854699$1.9M
111376123281$1.1M
121215354873$1.0M
131487021184$915K
141386242808$745K
151003037425$481K
161407447105$303K
171538849112$299K
181144094392$266K
191265053391$101K
201801059134$61K

Showing top 20 of 21 providers billing this code