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#3896 of 11K

58740

HCPCS Procedure Code

HCPCS code 58740 is the #3,896 most-billed Medicaid procedure code, with $1.0M in payments across 2,373 claims from 2018–2024. The national median cost per claim is $199.51. Costs vary widely — the 90th percentile is $603.63 per claim, 3.0× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

2,373

Providers

14

Avg Cost/Claim

$439

National Cost Distribution

How much do providers bill per claim for 58740? Based on 13 providers billing this code nationally.

Median

$199.51

Average

$290.73

Std Dev

$189.61

Max

$678.07

Percentile Distribution (Cost per Claim)

p10
$125.78
p25
$167.92
Median
$199.51
p75
$354.89
p90
$603.63
p95
$661.94
p99
$674.85

50% of providers bill between $167.92 and $354.89 per claim for this code.

90% bill between $125.78 and $603.63.

Top 1% bill above $674.85.

About This Procedure

HCPCS code 58740 was billed by 14 providers across 2,373 claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 2,358 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$199.51

Providers Billing

13

National Spending

$1.0M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58740

#ProviderTotal Paid
11639267214$742K
21164566717$148K
31609074806$37K
41669776175$33K
51881894715$24K
61417045113$20K
71528042512$11K
81790884633$11K
91093834533$5K
101073505764$5K
111730184367$4K
121760493076$3K
131336245802$1K
141447350194$0

Showing top 14 of 14 providers billing this code