82040
HCPCS Procedure Code
HCPCS code 82040 is the #1,178 most-billed Medicaid procedure code, with $35.3M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $0.92. Costs vary widely — the 90th percentile is $17.14 per claim, 18.6× the median.
Total Paid
$35.3M
0.00% of all spending
Total Claims
8.1M
Providers
3K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 82040? Based on 2K providers billing this code nationally.
Median
$0.92
Average
$12.92
Std Dev
$50.61
Max
$1,602.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.14 and $3.42 per claim for this code.
90% bill between $0.02 and $17.14.
Top 1% bill above $188.88.
About This Procedure
HCPCS code 82040 was billed by 3K providers across 8.1M claims, totaling $35.3M in Medicaid payments from 2018–2024. This code was used for 7.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.92
Providers Billing
2K
National Spending
$35.3M
Avg/Median Ratio
14.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 82040
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588065510 | $646K |
| 2 | 1316127921 | $637K |
| 3 | 1821520735 | $481K |
| 4 | Renal Care Group Of The Southeast Inc. Pensacola, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $443K |
| 5 | 1346522679 | $439K |
| 6 | 1225436199 | $433K |
| 7 | 1790897551 | $430K |
| 8 | 1437168440 | $386K |
| 9 | 1083726822 | $381K |
| 10 | 1912372293 | $365K |
| 11 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $359K |
| 12 | 1801908652 | $355K |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $354K |
| 14 | 1366687055 | $347K |
| 15 | 1740267483 | $346K |
| 16 | 1336251198 | $340K |
| 17 | 1811009665 | $334K |
| 18 | 1104268325 | $332K |
| 19 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $329K |
| 20 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $327K |
Showing top 20 of 3K providers billing this code