68040
HCPCS Procedure Code
HCPCS code 68040 is the #2,783 most-billed Medicaid procedure code, with $3.7M in payments across 87K claims from 2018–2024. The national median cost per claim is $30.05.
Total Paid
$3.7M
0.00% of all spending
Total Claims
87K
Providers
30
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 68040? Based on 26 providers billing this code nationally.
Median
$30.05
Average
$29.38
Std Dev
$22.21
Max
$77.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.19 and $45.25 per claim for this code.
90% bill between $4.05 and $57.42.
Top 1% bill above $74.18.
About This Procedure
HCPCS code 68040 was billed by 30 providers across 87K claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.05
Providers Billing
26
National Spending
$3.7M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 68040
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598274243 | $1.2M |
| 2 | 1174039531 | $990K |
| 3 | 1013453315 | $662K |
| 4 | 1679943005 | $253K |
| 5 | 1386120616 | $182K |
| 6 | 1982601191 | $156K |
| 7 | 1457414286 | $118K |
| 8 | 1811082571 | $29K |
| 9 | 1871508440 | $28K |
| 10 | 1417481680 | $20K |
| 11 | 1174758395 | $19K |
| 12 | 1003848714 | $18K |
| 13 | 1902102742 | $10K |
| 14 | 1578541991 | $7K |
| 15 | 1427705755 | $5K |
| 16 | 1063400604 | $5K |
| 17 | 1720175938 | $4K |
| 18 | 1063415537 | $3K |
| 19 | 1134342439 | $2K |
| 20 | 1427121235 | $2K |
Showing top 20 of 30 providers billing this code