#2299 of 11K

L1940

HCPCS Procedure Code

HCPCS code L1940 is the #2,299 most-billed Medicaid procedure code, with $7.0M in payments across 21K claims from 2018–2024. The national median cost per claim is $326.72.

Total Paid

$7.0M

0.00% of all spending

Total Claims

21K

Providers

Avg Cost/Claim

$328

National Cost Distribution

How much do providers bill per claim for L1940? Based on 54 providers billing this code nationally.

Median

$326.72

Average

$339.01

Std Dev

$108.41

Max

$650.26

Percentile Distribution (Cost per Claim)

p10

$210.22

p25

$303.09

Median

$326.72

p75

$364.73

p90

$483.74

p95

$511.27

p99

$646.76

50% of providers bill between $303.09 and $364.73 per claim for this code.

90% bill between $210.22 and $483.74.

Top 1% bill above $646.76.

About This Procedure

HCPCS code L1940 was billed by 57 providers across 21K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$326.72

Providers Billing

National Spending

$7.0M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1940

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1487748059	$1.1M	$323.17	1.0× median	Below Median
2	1528243177	$1.0M	$348.51	1.1× median	Above Median
3	1578995155	$766K	$336.27	1.0× median	Above Median
4	1346225968	$608K	$303.02	0.9× median	Below Median
5	1558612135	$587K	$452.60	1.4× median	Above 75th
6	1548718612	$536K	$324.05	1.0× median	Below Median
7	1780728550	$286K	$317.90	1.0× median	Below Median
8	1073569554	$260K	$312.90	1.0× median	Below Median
9	1346228699	$256K	$317.01	1.0× median	Below Median
10	1851669584	$225K	$338.00	1.0× median	Above Median
11	1912243700	$195K	$309.84	0.9× median	Below Median
12	1952798373	$139K	$331.60	1.0× median	Above Median
13	1194834192	$116K	$337.83	1.0× median	Above Median
14	1992075295	$81K	$326.26	1.0× median	Below Median
15	1326048893	$80K	$189.16	0.6× median	Below Median
16	1508956707	$68K	$332.32	1.0× median	Above Median
17	1891902524	$61K	$362.49	1.1× median	Above Median
18	1871023515	$51K	$330.82	1.0× median	Above Median
19	1508252032	$43K	$154.69	0.5× median	Below Median
20	1659377836	$41K	$341.27	1.0× median	Above Median

Showing top 20 of 57 providers billing this code

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