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#5571 of 11K

E0172

HCPCS Procedure Code

HCPCS code E0172 is the #5,571 most-billed Medicaid procedure code, with $174K in payments across 123 claims from 2018–2024. The national median cost per claim is $1,407.15.

Total Paid

$174K

0.00% of all spending

Total Claims

123

Providers

2

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for E0172? Based on 2 providers billing this code nationally.

Median

$1,407.15

Average

$1,407.15

Std Dev

$144.09

Max

$1,509.04

Percentile Distribution (Cost per Claim)

p10
$1,325.64
p25
$1,356.20
Median
$1,407.15
p75
$1,458.09
p90
$1,488.66
p95
$1,498.85
p99
$1,507.00

50% of providers bill between $1,356.20 and $1,458.09 per claim for this code.

90% bill between $1,325.64 and $1,488.66.

Top 1% bill above $1,507.00.

About This Procedure

HCPCS code E0172 was billed by 2 providers across 123 claims, totaling $174K in Medicaid payments from 2018–2024. This code was used for 99 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,407.15

Providers Billing

2

National Spending

$174K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.