#4233 of 11K

68840

HCPCS Procedure Code

HCPCS code 68840 is the #4,233 most-billed Medicaid procedure code, with $725K in payments across 18K claims from 2018–2024. The national median cost per claim is $50.62. Costs vary widely — the 90th percentile is $141.86 per claim, 2.8× the median.

Total Paid

$725K

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 68840? Based on 25 providers billing this code nationally.

Median

$50.62

Average

$72.68

Std Dev

$85.45

Max

$393.02

Percentile Distribution (Cost per Claim)

p10

$14.16

p25

$25.44

Median

$50.62

p75

$81.87

p90

$141.86

p95

$234.21

p99

$358.28

50% of providers bill between $25.44 and $81.87 per claim for this code.

90% bill between $14.16 and $141.86.

Top 1% bill above $358.28.

About This Procedure

HCPCS code 68840 was billed by 25 providers across 18K claims, totaling $725K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.62

Providers Billing

National Spending

$725K

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 68840

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710064589	$160K	$81.87	1.6× median	Above Median
2	1396820007	$122K	$42.64	0.8× median	Below Median
3	1386872265	$87K	$47.52	0.9× median	Below Median
4	1760507495	$82K	$248.27	4.9× median	Top 10%
5	1609205731	$71K	$14.09	0.3× median	Below Median
6	1851332241	$48K	$14.27	0.3× median	Below Median
7	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$40K	$393.02	7.8× median	Top 1%
8	1588940647	$32K	$177.98	3.5× median	Top 10%
9	1336174374	$19K	$22.44	0.4× median	Below Median
10	1730282187	$14K	$71.64	1.4× median	Above Median
11	1124282355	$13K	$87.70	1.7× median	Above 75th
12	1487632782	$11K	$86.59	1.7× median	Above 75th
13	1326674813	$8K	$60.78	1.2× median	Above Median
14	1730181868	$4K	$50.62	1.0× median	Below Median
15	1104968049	$4K	$34.68	0.7× median	Below Median
16	1710961453	$3K	$52.27	1.0× median	Above Median
17	1144778663	$1K	$33.47	0.7× median	Below Median
18	1073580197	$1K	$51.52	1.0× median	Above Median
19	1235167644	$1K	$83.66	1.7× median	Above 75th
20	1417092313	$1K	$43.63	0.9× median	Below Median

Showing top 20 of 25 providers billing this code

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