E0274
HCPCS Procedure Code
HCPCS code E0274 is the #4,271 most-billed Medicaid procedure code, with $702K in payments across 18K claims from 2018–2024. The national median cost per claim is $46.23. Costs vary widely — the 90th percentile is $97.46 per claim, 2.1× the median.
Total Paid
$702K
0.00% of all spending
Total Claims
18K
Providers
14
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for E0274? Based on 14 providers billing this code nationally.
Median
$46.23
Average
$51.97
Std Dev
$34.91
Max
$102.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.07 and $83.75 per claim for this code.
90% bill between $14.56 and $97.46.
Top 1% bill above $102.10.
About This Procedure
HCPCS code E0274 was billed by 14 providers across 18K claims, totaling $702K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.23
Providers Billing
14
National Spending
$702K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0274
| # | Provider | Total Paid |
|---|---|---|
| 1 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $339K |
| 2 | 1093716334 | $98K |
| 3 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $93K |
| 4 | 1144358839 | $46K |
| 5 | 1245387943 | $37K |
| 6 | 1447277264 | $31K |
| 7 | 1386688414 | $30K |
| 8 | Integra Partners Llc Troy, MI · Orthotic Fitter | $18K |
| 9 | 1710083308 | $2K |
| 10 | 1013911056 | $2K |
| 11 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $2K |
| 12 | 1376640292 | $1K |
| 13 | 1730182023 | $1K |
| 14 | 1063452829 | $14 |
Showing top 14 of 14 providers billing this code