90940
HCPCS Procedure Code
HCPCS code 90940 is the #7,375 most-billed Medicaid procedure code, with $19K in payments across 3K claims from 2018–2024. The national median cost per claim is $5.88. Costs vary widely — the 90th percentile is $16.52 per claim, 2.8× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
3K
Providers
15
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 90940? Based on 9 providers billing this code nationally.
Median
$5.88
Average
$7.21
Std Dev
$7.39
Max
$20.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.10 and $12.72 per claim for this code.
90% bill between $0.21 and $16.52.
Top 1% bill above $19.87.
About This Procedure
HCPCS code 90940 was billed by 15 providers across 3K claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.88
Providers Billing
9
National Spending
$19K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90940
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568421865 | $7K |
| 2 | 1093030504 | $4K |
| 3 | 1437118353 | $3K |
| 4 | 1699947895 | $3K |
| 5 | 1215990684 | $2K |
| 6 | 1164481081 | $518 |
| 7 | 1710939863 | $156 |
| 8 | 1134182561 | $60 |
| 9 | 1437123643 | $45 |
| 10 | 1881653244 | $0 |
| 11 | 1851365852 | $0 |
| 12 | 1083840896 | $0 |
| 13 | 1659647808 | $0 |
| 14 | 1790001709 | $0 |
| 15 | 1154415982 | $0 |
Showing top 15 of 15 providers billing this code