E0246
HCPCS Procedure Code
HCPCS code E0246 is the #3,503 most-billed Medicaid procedure code, with $1.6M in payments across 29K claims from 2018–2024. The national median cost per claim is $48.66.
Total Paid
$1.6M
0.00% of all spending
Total Claims
29K
Providers
58
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for E0246? Based on 57 providers billing this code nationally.
Median
$48.66
Average
$57.58
Std Dev
$49.08
Max
$339.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.19 and $58.98 per claim for this code.
90% bill between $34.06 and $74.92.
Top 1% bill above $284.90.
About This Procedure
HCPCS code E0246 was billed by 58 providers across 29K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.66
Providers Billing
57
National Spending
$1.6M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0246
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902815665 | $322K |
| 2 | 1750488680 | $204K |
| 3 | 1962440891 | $199K |
| 4 | 1144207911 | $183K |
| 5 | 1669570172 | $86K |
| 6 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $74K |
| 7 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $59K |
| 8 | 1518964469 | $55K |
| 9 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $54K |
| 10 | 1962537241 | $54K |
| 11 | 1346248341 | $47K |
| 12 | 1356410864 | $21K |
| 13 | 1649376260 | $21K |
| 14 | 1235372848 | $17K |
| 15 | 1538669163 | $17K |
| 16 | 1588385876 | $17K |
| 17 | 1730109588 | $16K |
| 18 | 1700878030 | $14K |
| 19 | 1679570121 | $13K |
| 20 | 1881698520 | $12K |
Showing top 20 of 58 providers billing this code