#2215 of 11K

00400

HCPCS Procedure Code

HCPCS code 00400 is the #2,215 most-billed Medicaid procedure code, with $7.8M in payments across 132K claims from 2018–2024. The national median cost per claim is $49.18. Costs vary widely — the 90th percentile is $152.83 per claim, 3.1× the median.

Total Paid

$7.8M

0.00% of all spending

Total Claims

132K

Providers

244

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 00400? Based on 228 providers billing this code nationally.

Median

$49.18

Average

$74.91

Std Dev

$81.79

Max

$610.81

Percentile Distribution (Cost per Claim)

p10

$4.45

p25

$33.81

Median

$49.18

p75

$99.01

p90

$152.83

p95

$205.98

p99

$438.96

50% of providers bill between $33.81 and $99.01 per claim for this code.

90% bill between $4.45 and $152.83.

Top 1% bill above $438.96.

About This Procedure

HCPCS code 00400 was billed by 244 providers across 132K claims, totaling $7.8M in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.18

Providers Billing

228

National Spending

$7.8M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 00400

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$572K	$265.97	5.4× median	Top 10%
2	1871986372	$495K	$49.31	1.0× median	Above Median
3	1558314427	$380K	$82.19	1.7× median	Above Median
4	1972126209	$306K	$41.91	0.9× median	Below Median
5	1346267267	$276K	$113.06	2.3× median	Above 75th
6	1225016926	$259K	$55.05	1.1× median	Above Median
7	1053366377	$223K	$65.78	1.3× median	Above Median
8	1093767766	$209K	$60.60	1.2× median	Above Median
9	1669581997	$202K	$39.01	0.8× median	Below Median
10	1487602546	$200K	$340.28	6.9× median	Top 10%
11	1417994872	$194K	$54.71	1.1× median	Above Median
12	1497797153	$169K	$38.91	0.8× median	Below Median
13	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$151K	$108.36	2.2× median	Above 75th
14	1003989690	$133K	$60.38	1.2× median	Above Median
15	1407821796	$129K	$43.49	0.9× median	Below Median
16	1821448150	$127K	$87.15	1.8× median	Above Median
17	1649264706	$125K	$129.87	2.6× median	Above 75th
18	1487609475	$120K	$39.61	0.8× median	Below Median
19	1528010428	$117K	$47.38	1.0× median	Below Median
20	1861579542	$113K	$39.37	0.8× median	Below Median

Showing top 20 of 244 providers billing this code

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