#2718 of 11K

E0149

HCPCS Procedure Code

HCPCS code E0149 is the #2,718 most-billed Medicaid procedure code, with $4.0M in payments across 181K claims from 2018–2024. The national median cost per claim is $17.18. Costs vary widely — the 90th percentile is $58.55 per claim, 3.4× the median.

Total Paid

$4.0M

0.00% of all spending

Total Claims

181K

Providers

318

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for E0149? Based on 317 providers billing this code nationally.

Median

$17.18

Average

$24.88

Std Dev

$24.25

Max

$148.55

Percentile Distribution (Cost per Claim)

p10

$4.24

p25

$8.86

Median

$17.18

p75

$31.85

p90

$58.55

p95

$74.33

p99

$111.18

50% of providers bill between $8.86 and $31.85 per claim for this code.

90% bill between $4.24 and $58.55.

Top 1% bill above $111.18.

About This Procedure

HCPCS code E0149 was billed by 318 providers across 181K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 162K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.18

Providers Billing

317

National Spending

$4.0M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0149

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$279K	$20.44	1.2× median	Above Median
2	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$196K	$86.90	5.1× median	Top 10%
3	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$184K	$37.88	2.2× median	Above 75th
4	1669570172	$163K	$121.60	7.1× median	Top 1%
5	1386688414	$148K	$71.02	4.1× median	Top 10%
6	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$128K	$24.58	1.4× median	Above Median
7	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$97K	$44.48	2.6× median	Above 75th
8	1265526396	$96K	$23.07	1.3× median	Above Median
9	1053314021	$90K	$32.24	1.9× median	Above 75th
10	1730182023	$84K	$19.46	1.1× median	Above Median
11	1922046085	$77K	$39.76	2.3× median	Above 75th
12	Integra Partners Llc Troy, MI · Orthotic Fitter	$67K	$51.04	3.0× median	Above 75th
13	Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$67K	$80.63	4.7× median	Top 10%
14	1154338184	$62K	$32.13	1.9× median	Above 75th
15	1184716672	$55K	$36.48	2.1× median	Above 75th
16	1851337604	$54K	$25.51	1.5× median	Above Median
17	1972554939	$51K	$24.29	1.4× median	Above Median
18	1851328157	$46K	$11.42	0.7× median	Below Median
19	1831289826	$45K	$59.02	3.4× median	Top 10%
20	1346248341	$45K	$12.79	0.7× median	Below Median

Showing top 20 of 318 providers billing this code

Related Procedures

E0143Walker, folding, wheeled, adjustable or fixed height$68.2M E0156$4.7M E0147$1.6M E0144$1.3M E0141$168K

← All procedures Top providers →