E0255
HCPCS Procedure Code
HCPCS code E0255 is the #3,570 most-billed Medicaid procedure code, with $1.5M in payments across 57K claims from 2018–2024. The national median cost per claim is $14.03. Costs vary widely — the 90th percentile is $58.70 per claim, 4.2× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
57K
Providers
63
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for E0255? Based on 63 providers billing this code nationally.
Median
$14.03
Average
$23.44
Std Dev
$22.29
Max
$91.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.12 and $27.79 per claim for this code.
90% bill between $6.25 and $58.70.
Top 1% bill above $89.06.
About This Procedure
HCPCS code E0255 was billed by 63 providers across 57K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.03
Providers Billing
63
National Spending
$1.5M
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E0255
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447277264 | $224K |
| 2 | 1730221599 | $209K |
| 3 | 1336123678 | $154K |
| 4 | 1467415414 | $127K |
| 5 | 1497837280 | $126K |
| 6 | 1144280041 | $99K |
| 7 | 1457348807 | $68K |
| 8 | 1972554939 | $62K |
| 9 | 1790758936 | $39K |
| 10 | 1770738007 | $38K |
| 11 | 1467014860 | $36K |
| 12 | 1922006741 | $32K |
| 13 | 1588994438 | $31K |
| 14 | 1710259551 | $31K |
| 15 | 1992759153 | $17K |
| 16 | 1457314130 | $17K |
| 17 | 1205837879 | $14K |
| 18 | 1417991233 | $14K |
| 19 | 1336269752 | $12K |
| 20 | 1770118309 | $12K |
Showing top 20 of 63 providers billing this code