89240
HCPCS Procedure Code
HCPCS code 89240 is the #8,596 most-billed Medicaid procedure code, with $2K in payments across 5,760 claims from 2018–2024. The national median cost per claim is $0.11. Costs vary widely — the 90th percentile is $2.98 per claim, 27.1× the median.
Total Paid
$2K
0.00% of all spending
Total Claims
5,760
Providers
12
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 89240? Based on 8 providers billing this code nationally.
Median
$0.11
Average
$1.11
Std Dev
$2.27
Max
$6.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.02 and $0.79 per claim for this code.
90% bill between $0.02 and $2.98.
Top 1% bill above $6.25.
About This Procedure
HCPCS code 89240 was billed by 12 providers across 5,760 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 5,454 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.11
Providers Billing
8
National Spending
$2K
Avg/Median Ratio
10.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 89240
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $978 |
| 2 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $763 |
| 3 | 1366053167 | $134 |
| 4 | 1275536799 | $43 |
| 5 | Centro De Salud De La Comunidad De San Ysidro, Inc. San Ysidro, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $36 |
| 6 | Centro De Salud De La Comunidad De San Ysidro, Inc. Chula Vista, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $34 |
| 7 | 1952471542 | $27 |
| 8 | 1639433063 | $1 |
| 9 | 1417027095 | $0 |
| 10 | 1649339581 | $0 |
| 11 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $0 |
| 12 | 1558852947 | $0 |
Showing top 12 of 12 providers billing this code