73040
HCPCS Procedure Code
HCPCS code 73040 is the #7,388 most-billed Medicaid procedure code, with $19K in payments across 541 claims from 2018–2024. The national median cost per claim is $54.94. Costs vary widely — the 90th percentile is $176.18 per claim, 3.2× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
541
Providers
10
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for 73040? Based on 10 providers billing this code nationally.
Median
$54.94
Average
$79.01
Std Dev
$75.21
Max
$198.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.31 and $146.92 per claim for this code.
90% bill between $10.58 and $176.18.
Top 1% bill above $195.96.
About This Procedure
HCPCS code 73040 was billed by 10 providers across 541 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 454 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.94
Providers Billing
10
National Spending
$19K
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 73040
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679679146 | $3K |
| 2 | 1376596650 | $3K |
| 3 | 1902839673 | $3K |
| 4 | 1508879750 | $2K |
| 5 | 1750493979 | $2K |
| 6 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $2K |
| 7 | 1093892275 | $1K |
| 8 | 1174697858 | $978 |
| 9 | 1023186145 | $276 |
| 10 | 1992787238 | $142 |
Showing top 10 of 10 providers billing this code