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#1094 of 11K

0240U

HCPCS Procedure Code

HCPCS code 0240U is the #1,094 most-billed Medicaid procedure code, with $41.3M in payments across 475K claims from 2018–2024. The national median cost per claim is $89.76.

Total Paid

$41.3M

0.00% of all spending

Total Claims

475K

Providers

438

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for 0240U? Based on 388 providers billing this code nationally.

Median

$89.76

Average

$81.78

Std Dev

$53.08

Max

$342.79

Percentile Distribution (Cost per Claim)

p10
$5.74
p25
$31.23
Median
$89.76
p75
$123.77
p90
$142.63
p95
$156.17
p99
$186.05

50% of providers bill between $31.23 and $123.77 per claim for this code.

90% bill between $5.74 and $142.63.

Top 1% bill above $186.05.

About This Procedure

HCPCS code 0240U was billed by 438 providers across 475K claims, totaling $41.3M in Medicaid payments from 2018–2024. This code was used for 381K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.76

Providers Billing

388

National Spending

$41.3M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0240U

#ProviderTotal Paid
1Wakemed

Raleigh, NC · General Acute Care Hospital

$4.0M
21902534845$3.0M
31174266787$2.8M
4United Eg Llc

Lombard, IL · Clinical Medical Laboratory

$2.3M
51881793750$1.8M
6Holzer Hospital Foundation

Gallipolis, OH · General Acute Care Hospital Rural

$1.2M
7North Carolina Baptist Hospital

Winston Salem, NC · General Acute Care Hospital

$1.1M
81740208081$1.1M
91467546135$981K
101346247962$933K
111235253485$819K
121356444814$651K
131538163886$594K
141902548647$524K
151477876514$497K
161841242542$478K
171275536799$464K
181023006434$435K
19Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$432K
20Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$411K

Showing top 20 of 438 providers billing this code