#3708 of 11K

E0271

HCPCS Procedure Code

HCPCS code E0271 is the #3,708 most-billed Medicaid procedure code, with $1.3M in payments across 101K claims from 2018–2024. The national median cost per claim is $14.70. Costs vary widely — the 90th percentile is $53.14 per claim, 3.6× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

101K

Providers

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for E0271? Based on 81 providers billing this code nationally.

Median

$14.70

Average

$22.44

Std Dev

$24.62

Max

$117.42

Percentile Distribution (Cost per Claim)

p10

$2.65

p25

$8.58

Median

$14.70

p75

$24.73

p90

$53.14

p95

$83.50

p99

$106.14

50% of providers bill between $8.58 and $24.73 per claim for this code.

90% bill between $2.65 and $53.14.

Top 1% bill above $106.14.

About This Procedure

HCPCS code E0271 was billed by 86 providers across 101K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.70

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

1.53×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0271

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$307K	$37.93	2.6× median	Above 75th
2	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$252K	$6.93	0.5× median	Below Median
3	1093716334	$100K	$32.71	2.2× median	Above 75th
4	1922046085	$87K	$15.98	1.1× median	Above Median
5	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$84K	$13.06	0.9× median	Below Median
6	1255632394	$65K	$31.14	2.1× median	Above 75th
7	1174749972	$64K	$6.86	0.5× median	Below Median
8	Integra Partners Llc Troy, MI · Orthotic Fitter	$44K	$62.72	4.3× median	Top 10%
9	1184716672	$26K	$31.45	2.1× median	Above 75th
10	1730157009	$19K	$14.60	1.0× median	Below Median
11	1285772343	$17K	$33.81	2.3× median	Above 75th
12	1063696284	$16K	$24.73	1.7× median	Above Median
13	1083612022	$16K	$21.69	1.5× median	Above Median
14	1760787188	$10K	$16.99	1.2× median	Above Median
15	1427339530	$10K	$6.47	0.4× median	Below Median
16	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$10K	$8.58	0.6× median	Below Median
17	1932566858	$9K	$11.30	0.8× median	Below Median
18	1437154713	$9K	$88.29	6.0× median	Top 10%
19	1548336423	$9K	$16.50	1.1× median	Above Median
20	1366678294	$9K	$13.42	0.9× median	Below Median

Showing top 20 of 86 providers billing this code

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E0277$37.9M E0261$9.7M E0265$4.8M E0274$702K E0272$426K

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