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#6150 of 11K

E0155

HCPCS Procedure Code

HCPCS code E0155 is the #6,150 most-billed Medicaid procedure code, with $90K in payments across 6,836 claims from 2018–2024. The national median cost per claim is $12.82.

Total Paid

$90K

0.00% of all spending

Total Claims

6,836

Providers

16

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for E0155? Based on 16 providers billing this code nationally.

Median

$12.82

Average

$12.97

Std Dev

$6.50

Max

$22.11

Percentile Distribution (Cost per Claim)

p10
$5.02
p25
$9.33
Median
$12.82
p75
$18.33
p90
$21.36
p95
$21.66
p99
$22.02

50% of providers bill between $9.33 and $18.33 per claim for this code.

90% bill between $5.02 and $21.36.

Top 1% bill above $22.02.

About This Procedure

HCPCS code E0155 was billed by 16 providers across 6,836 claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 5,965 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.82

Providers Billing

16

National Spending

$90K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0155

#ProviderTotal Paid
11053314021$50K
21689665911$12K
31720387624$6K
41891787594$5K
51801183272$5K
61003885799$3K
71487649349$3K
81417031444$2K
91043800469$1K
101568464295$855
11Nationwide Children's Hospital

Columbus, OH · Durable Medical Equipment & Medical Supplies

$555
121881736148$301
131417263864$255
141144311531$194
151417321019$134
161164426144$32

Showing top 16 of 16 providers billing this code