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#4431 of 11K

99140

HCPCS Procedure Code

HCPCS code 99140 is the #4,431 most-billed Medicaid procedure code, with $596K in payments across 62K claims from 2018–2024. The national median cost per claim is $12.42. Costs vary widely — the 90th percentile is $67.37 per claim, 5.4× the median.

Total Paid

$596K

0.00% of all spending

Total Claims

62K

Providers

203

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 99140? Based on 121 providers billing this code nationally.

Median

$12.42

Average

$26.51

Std Dev

$37.02

Max

$202.93

Percentile Distribution (Cost per Claim)

p10
$1.05
p25
$3.90
Median
$12.42
p75
$37.08
p90
$67.37
p95
$80.64
p99
$191.92

50% of providers bill between $3.90 and $37.08 per claim for this code.

90% bill between $1.05 and $67.37.

Top 1% bill above $191.92.

About This Procedure

HCPCS code 99140 was billed by 203 providers across 62K claims, totaling $596K in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.42

Providers Billing

121

National Spending

$596K

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99140

#ProviderTotal Paid
1Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$110K
21558314427$71K
3West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$67K
4Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$27K
51013960798$23K
61811997869$23K
71790201739$21K
81700837408$18K
91437109824$15K
101922031442$14K
111780631960$13K
121548208564$12K
131548275308$12K
141124248752$11K
151417994872$10K
161093727455$9K
17Texas Children's Physician Group

Houston, TX · Pediatrics

$8K
181306905799$7K
191316048754$6K
201760965586$6K

Showing top 20 of 203 providers billing this code

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