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#5461 of 11K

67040

HCPCS Procedure Code

HCPCS code 67040 is the #5,461 most-billed Medicaid procedure code, with $194K in payments across 197 claims from 2018–2024. The national median cost per claim is $863.55.

Total Paid

$194K

0.00% of all spending

Total Claims

197

Providers

5

Avg Cost/Claim

$985

National Cost Distribution

How much do providers bill per claim for 67040? Based on 5 providers billing this code nationally.

Median

$863.55

Average

$947.07

Std Dev

$407.79

Max

$1,652.52

Percentile Distribution (Cost per Claim)

p10
$663.21
p25
$723.99
Median
$863.55
p75
$872.60
p90
$1,340.55
p95
$1,496.53
p99
$1,621.32

50% of providers bill between $723.99 and $872.60 per claim for this code.

90% bill between $663.21 and $1,340.55.

Top 1% bill above $1,621.32.

About This Procedure

HCPCS code 67040 was billed by 5 providers across 197 claims, totaling $194K in Medicaid payments from 2018–2024. This code was used for 181 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$863.55

Providers Billing

5

National Spending

$194K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67040

#ProviderTotal Paid
11538535158$79K
21962943118$38K
31205878758$37K
41275583205$22K
51740259142$18K

Showing top 5 of 5 providers billing this code