#1292 of 11K

00840

HCPCS Procedure Code

HCPCS code 00840 is the #1,292 most-billed Medicaid procedure code, with $28.8M in payments across 275K claims from 2018–2024. The national median cost per claim is $96.47. Costs vary widely — the 90th percentile is $256.30 per claim, 2.7× the median.

Total Paid

$28.8M

0.00% of all spending

Total Claims

275K

Providers

474

Avg Cost/Claim

$105

National Cost Distribution

How much do providers bill per claim for 00840? Based on 425 providers billing this code nationally.

Median

$96.47

Average

$125.94

Std Dev

$112.99

Max

$664.10

Percentile Distribution (Cost per Claim)

p10

$5.82

p25

$61.68

Median

$96.47

p75

$171.23

p90

$256.30

p95

$363.94

p99

$580.81

50% of providers bill between $61.68 and $171.23 per claim for this code.

90% bill between $5.82 and $256.30.

Top 1% bill above $580.81.

About This Procedure

HCPCS code 00840 was billed by 474 providers across 275K claims, totaling $28.8M in Medicaid payments from 2018–2024. This code was used for 213K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$96.47

Providers Billing

425

National Spending

$28.8M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00840

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$1.9M	$477.53	5.0× median	Top 10%
2	1558314427	$1.6M	$137.43	1.4× median	Above Median
3	1346267267	$979K	$173.84	1.8× median	Above 75th
4	1871986372	$957K	$98.06	1.0× median	Above Median
5	1972126209	$900K	$76.27	0.8× median	Below Median
6	1225016926	$893K	$85.81	0.9× median	Below Median
7	1508138256	$692K	$203.81	2.1× median	Above 75th
8	1821448150	$646K	$129.25	1.3× median	Above Median
9	1053366377	$586K	$133.08	1.4× median	Above Median
10	1417994872	$581K	$80.71	0.8× median	Below Median
11	1497797153	$543K	$73.22	0.8× median	Below Median
12	1669581997	$521K	$76.69	0.8× median	Below Median
13	1407821796	$510K	$90.09	0.9× median	Below Median
14	1649264706	$502K	$214.98	2.2× median	Above 75th
15	1558391763	$479K	$252.93	2.6× median	Above 75th
16	1952392946	$368K	$388.51	4.0× median	Top 10%
17	1487609475	$365K	$71.86	0.7× median	Below Median
18	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$336K	$184.72	1.9× median	Above 75th
19	1811997869	$336K	$144.23	1.5× median	Above Median
20	1831536531	$332K	$210.03	2.2× median	Above 75th

Showing top 20 of 474 providers billing this code

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