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#6868 of 11K

00640

HCPCS Procedure Code

HCPCS code 00640 is the #6,868 most-billed Medicaid procedure code, with $39K in payments across 683 claims from 2018–2024. The national median cost per claim is $57.30.

Total Paid

$39K

0.00% of all spending

Total Claims

683

Providers

3

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 00640? Based on 3 providers billing this code nationally.

Median

$57.30

Average

$63.34

Std Dev

$29.07

Max

$94.95

Percentile Distribution (Cost per Claim)

p10
$41.68
p25
$47.54
Median
$57.30
p75
$76.13
p90
$87.42
p95
$91.19
p99
$94.20

50% of providers bill between $47.54 and $76.13 per claim for this code.

90% bill between $41.68 and $87.42.

Top 1% bill above $94.20.

About This Procedure

HCPCS code 00640 was billed by 3 providers across 683 claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 665 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.30

Providers Billing

3

National Spending

$39K

Avg/Median Ratio

1.11×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.