E0266
HCPCS Procedure Code
HCPCS code E0266 is the #5,315 most-billed Medicaid procedure code, with $231K in payments across 4K claims from 2018–2024. The national median cost per claim is $32.99. Costs vary widely — the 90th percentile is $115.63 per claim, 3.5× the median.
Total Paid
$231K
0.00% of all spending
Total Claims
4K
Providers
11
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for E0266? Based on 11 providers billing this code nationally.
Median
$32.99
Average
$81.30
Std Dev
$136.63
Max
$475.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.84 and $87.17 per claim for this code.
90% bill between $2.15 and $115.63.
Top 1% bill above $439.83.
About This Procedure
HCPCS code E0266 was billed by 11 providers across 4K claims, totaling $231K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.99
Providers Billing
11
National Spending
$231K
Avg/Median Ratio
2.46×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0266
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1922006741 | $57K |
| 2 | 1902934250 | $55K |
| 3 | 1164442901 | $30K |
| 4 | 1861593188 | $30K |
| 5 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $25K |
| 6 | 1093716334 | $22K |
| 7 | 1871575563 | $9K |
| 8 | 1942329990 | $2K |
| 9 | 1851456180 | $1K |
| 10 | 1306512256 | $292 |
| 11 | 1659480424 | $59 |
Showing top 11 of 11 providers billing this code