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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $979K |
| 2 | 1891750691 | $524K |
| 3 | 1932484979 | $514K |
| 4 | 1114966181 | $445K |
| 5 | 1487624193 | $425K |
| 6 | 1003889684 | $419K |
| 7 | 1043209794 | $364K |
| 8 | 1184883472 | $312K |
| 9 | 1003052598 | $284K |
| 10 | 1518037787 | $271K |
| 11 | 1841263621 | $254K |
| 12 | 1326011263 | $254K |
| 13 | 1346711884 | $251K |
| 14 | 1982949459 | $250K |
| 15 | 1093112435 | $244K |
| 16 | 1538576509 | $242K |
| 17 | 1912987132 | $239K |
| 18 | 1215933791 | $231K |
| 19 | 1013998368 | $218K |
| 20 | 1144458209 | $205K |
Showing top 20 of 291 providers billing this code