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#3118 of 11K

93040

HCPCS Procedure Code

HCPCS code 93040 is the #3,118 most-billed Medicaid procedure code, with $2.4M in payments across 262K claims from 2018–2024. The national median cost per claim is $5.65.

Total Paid

$2.4M

0.00% of all spending

Total Claims

262K

Providers

478

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 93040? Based on 446 providers billing this code nationally.

Median

$5.65

Average

$6.35

Std Dev

$6.16

Max

$72.43

Percentile Distribution (Cost per Claim)

p10
$1.16
p25
$2.55
Median
$5.65
p75
$8.10
p90
$10.78
p95
$12.90
p99
$32.34

50% of providers bill between $2.55 and $8.10 per claim for this code.

90% bill between $1.16 and $10.78.

Top 1% bill above $32.34.

About This Procedure

HCPCS code 93040 was billed by 478 providers across 262K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 203K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.65

Providers Billing

446

National Spending

$2.4M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93040

#ProviderTotal Paid
11043347768$363K
21386085173$295K
31841797743$144K
41790793552$135K
51679648331$96K
61649237827$85K
71417446691$74K
81356014625$68K
91356925960$47K
101508297854$46K
111467706242$36K
121013048461$36K
131093733594$36K
141811153695$30K
151093099046$27K
161255461893$27K
171437424330$26K
181326360082$20K
191114972064$19K
201790936854$17K

Showing top 20 of 478 providers billing this code