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#6653 of 11K

E0242

HCPCS Procedure Code

HCPCS code E0242 is the #6,653 most-billed Medicaid procedure code, with $50K in payments across 1,005 claims from 2018–2024. The national median cost per claim is $73.67.

Total Paid

$50K

0.00% of all spending

Total Claims

1,005

Providers

5

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for E0242? Based on 5 providers billing this code nationally.

Median

$73.67

Average

$72.46

Std Dev

$33.38

Max

$117.66

Percentile Distribution (Cost per Claim)

p10
$40.31
p25
$62.49
Median
$73.67
p75
$82.98
p90
$103.79
p95
$110.73
p99
$116.28

50% of providers bill between $62.49 and $82.98 per claim for this code.

90% bill between $40.31 and $103.79.

Top 1% bill above $116.28.

About This Procedure

HCPCS code E0242 was billed by 5 providers across 1,005 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 945 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.67

Providers Billing

5

National Spending

$50K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0242

#ProviderTotal Paid
11144358839$23K
21871575563$18K
31689792178$7K
41669635173$1K
51336452911$1K

Showing top 5 of 5 providers billing this code