72040
HCPCS Procedure Code
HCPCS code 72040 is the #1,272 most-billed Medicaid procedure code, with $29.7M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $16.49. Costs vary widely — the 90th percentile is $40.45 per claim, 2.5× the median.
Total Paid
$29.7M
0.00% of all spending
Total Claims
1.4M
Providers
3K
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 72040? Based on 3K providers billing this code nationally.
Median
$16.49
Average
$21.30
Std Dev
$22.42
Max
$458.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.48 and $25.77 per claim for this code.
90% bill between $5.68 and $40.45.
Top 1% bill above $100.90.
About This Procedure
HCPCS code 72040 was billed by 3K providers across 1.4M claims, totaling $29.7M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.49
Providers Billing
3K
National Spending
$29.7M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 72040
| # | Provider | Total Paid |
|---|---|---|
| 1 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $661K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $609K |
| 3 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $486K |
| 4 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $391K |
| 5 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $360K |
| 6 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $360K |
| 7 | 1508856535 | $327K |
| 8 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $275K |
| 9 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $252K |
| 10 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $229K |
| 11 | 1972004489 | $227K |
| 12 | State Of Connecticut Farmington, CT · Counselor, Professional | $209K |
| 13 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $203K |
| 14 | 1538244918 | $202K |
| 15 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $198K |
| 16 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $187K |
| 17 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $183K |
| 18 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $177K |
| 19 | 1497148456 | $159K |
| 20 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $159K |
Showing top 20 of 3K providers billing this code