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#1746 of 11K

K0040

HCPCS Procedure Code

HCPCS code K0040 is the #1,746 most-billed Medicaid procedure code, with $14.9M in payments across 213K claims from 2018–2024. The national median cost per claim is $62.90.

Total Paid

$14.9M

0.00% of all spending

Total Claims

213K

Providers

291

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for K0040? Based on 291 providers billing this code nationally.

Median

$62.90

Average

$64.48

Std Dev

$30.21

Max

$141.56

Percentile Distribution (Cost per Claim)

p10
$25.20
p25
$46.31
Median
$62.90
p75
$84.93
p90
$105.90
p95
$116.38
p99
$132.80

50% of providers bill between $46.31 and $84.93 per claim for this code.

90% bill between $25.20 and $105.90.

Top 1% bill above $132.80.

About This Procedure

HCPCS code K0040 was billed by 291 providers across 213K claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 162K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.90

Providers Billing

291

National Spending

$14.9M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0040

#ProviderTotal Paid
11639296817$979K
21891750691$524K
31932484979$514K
41114966181$445K
51487624193$425K
61003889684$419K
71043209794$364K
81184883472$312K
91003052598$284K
101518037787$271K
111841263621$254K
121326011263$254K
131346711884$251K
141982949459$250K
151093112435$244K
161538576509$242K
171912987132$239K
181215933791$231K
191013998368$218K
201144458209$205K

Showing top 20 of 291 providers billing this code