Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5236 of 11K

E0203

HCPCS Procedure Code

HCPCS code E0203 is the #5,236 most-billed Medicaid procedure code, with $254K in payments across 3K claims from 2018–2024. The national median cost per claim is $73.72.

Total Paid

$254K

0.00% of all spending

Total Claims

3K

Providers

4

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for E0203? Based on 3 providers billing this code nationally.

Median

$73.72

Average

$93.95

Std Dev

$42.39

Max

$142.66

Percentile Distribution (Cost per Claim)

p10
$67.11
p25
$69.59
Median
$73.72
p75
$108.19
p90
$128.87
p95
$135.77
p99
$141.29

50% of providers bill between $69.59 and $108.19 per claim for this code.

90% bill between $67.11 and $128.87.

Top 1% bill above $141.29.

About This Procedure

HCPCS code E0203 was billed by 4 providers across 3K claims, totaling $254K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.72

Providers Billing

3

National Spending

$254K

Avg/Median Ratio

1.27×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.