94640
Pressurized or nonpressurized inhalation treatment
Pressurized or nonpressurized inhalation treatment is the #404 most-billed Medicaid procedure code, with $261.4M in payments across 8.6M claims from 2018–2024. The national median cost per claim is $10.88. Costs vary widely — the 90th percentile is $51.82 per claim, 4.8× the median.
Total Paid
$261.4M
0.02% of all spending
Total Claims
8.6M
Providers
7K
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 94640? Based on 7K providers billing this code nationally.
Median
$10.88
Average
$21.64
Std Dev
$41.01
Max
$1,207.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.98 and $17.35 per claim for this code.
90% bill between $1.62 and $51.82.
Top 1% bill above $166.73.
About This Procedure
HCPCS code 94640 (Pressurized or nonpressurized inhalation treatment) was billed by 7K providers across 8.6M claims, totaling $261.4M in Medicaid payments from 2018–2024. This code was used for 6.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.88
Providers Billing
7K
National Spending
$261.4M
Avg/Median Ratio
1.99×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 94640
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $5.0M |
| 2 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $4.8M |
| 3 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $3.7M |
| 4 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $3.5M |
| 5 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $3.1M |
| 6 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $2.6M |
| 7 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $2.4M |
| 8 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $2.2M |
| 9 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $2.2M |
| 10 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $2.1M |
| 11 | 1225041809 | $2.0M |
| 12 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $1.9M |
| 13 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $1.8M |
| 14 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $1.6M |
| 15 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $1.6M |
| 16 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.6M |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $1.5M |
| 18 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 19 | Mercy Health - St Vincent Medical Center Llc Toledo, OH · Ambulance, Land Transport | $1.5M |
| 20 | 1487740957 | $1.5M |
Showing top 20 of 7K providers billing this code