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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144358839 | $23K |
| 2 | 1871575563 | $18K |
| 3 | 1689792178 | $7K |
| 4 | 1669635173 | $1K |
| 5 | 1336452911 | $1K |
Showing top 5 of 5 providers billing this code