E0221
HCPCS Procedure Code
HCPCS code E0221 is the #3,799 most-billed Medicaid procedure code, with $1.2M in payments across 2K claims from 2018–2024. The national median cost per claim is $99.97. Costs vary widely — the 90th percentile is $2,246.44 per claim, 22.5× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
2K
Providers
9
Avg Cost/Claim
$474
National Cost Distribution
How much do providers bill per claim for E0221? Based on 9 providers billing this code nationally.
Median
$99.97
Average
$994.71
Std Dev
$1,116.30
Max
$2,460.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.50 and $2,063.07 per claim for this code.
90% bill between $39.91 and $2,246.44.
Top 1% bill above $2,438.75.
About This Procedure
HCPCS code E0221 was billed by 9 providers across 2K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.97
Providers Billing
9
National Spending
$1.2M
Avg/Median Ratio
9.95×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0221
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265768147 | $431K |
| 2 | 1134665490 | $234K |
| 3 | 1376000950 | $219K |
| 4 | 1649464249 | $121K |
| 5 | 1407307614 | $64K |
| 6 | 1508317751 | $43K |
| 7 | 1831648815 | $26K |
| 8 | 1487186847 | $15K |
| 9 | 1871503235 | $40 |
Showing top 9 of 9 providers billing this code