59840
HCPCS Procedure Code
HCPCS code 59840 is the #1,024 most-billed Medicaid procedure code, with $47.3M in payments across 129K claims from 2018–2024. The national median cost per claim is $190.09. Costs vary widely — the 90th percentile is $639.78 per claim, 3.4× the median.
Total Paid
$47.3M
0.00% of all spending
Total Claims
129K
Providers
114
Avg Cost/Claim
$368
National Cost Distribution
How much do providers bill per claim for 59840? Based on 93 providers billing this code nationally.
Median
$190.09
Average
$260.50
Std Dev
$206.70
Max
$862.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $138.53 and $295.84 per claim for this code.
90% bill between $78.51 and $639.78.
Top 1% bill above $800.55.
About This Procedure
HCPCS code 59840 was billed by 114 providers across 129K claims, totaling $47.3M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$190.09
Providers Billing
93
National Spending
$47.3M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 59840
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417959701 | $18.2M |
| 2 | 1164848453 | $6.0M |
| 3 | 1306909957 | $2.9M |
| 4 | 1285701672 | $2.2M |
| 5 | 1497780480 | $2.2M |
| 6 | 1194832949 | $1.9M |
| 7 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $1.4M |
| 8 | 1184847410 | $1.3M |
| 9 | 1285873166 | $1.1M |
| 10 | 1336174325 | $943K |
| 11 | 1881758902 | $913K |
| 12 | 1497847487 | $590K |
| 13 | 1487749495 | $524K |
| 14 | 1639218548 | $501K |
| 15 | 1609897834 | $477K |
| 16 | 1750316741 | $442K |
| 17 | 1326139486 | $422K |
| 18 | 1073608675 | $382K |
| 19 | 1700126133 | $342K |
| 20 | 1265421564 | $311K |
Showing top 20 of 114 providers billing this code