91040
HCPCS Procedure Code
HCPCS code 91040 is the #7,184 most-billed Medicaid procedure code, with $26K in payments across 351 claims from 2018–2024. The national median cost per claim is $86.83. Costs vary widely — the 90th percentile is $215.90 per claim, 2.5× the median.
Total Paid
$26K
0.00% of all spending
Total Claims
351
Providers
10
Avg Cost/Claim
$73
National Cost Distribution
How much do providers bill per claim for 91040? Based on 8 providers billing this code nationally.
Median
$86.83
Average
$103.18
Std Dev
$81.26
Max
$225.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.97 and $151.25 per claim for this code.
90% bill between $27.34 and $215.90.
Top 1% bill above $224.11.
About This Procedure
HCPCS code 91040 was billed by 10 providers across 351 claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 301 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.83
Providers Billing
8
National Spending
$26K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 91040
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $9K |
| 2 | 1427007848 | $6K |
| 3 | 1750678017 | $4K |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $3K |
| 5 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $3K |
| 6 | 1700821808 | $1K |
| 7 | 1689897787 | $486 |
| 8 | 1023584216 | $208 |
| 9 | 1265423917 | $0 |
| 10 | 1679892913 | $0 |
Showing top 10 of 10 providers billing this code