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#4063 of 11K

E0294

HCPCS Procedure Code

HCPCS code E0294 is the #4,063 most-billed Medicaid procedure code, with $878K in payments across 32K claims from 2018–2024. The national median cost per claim is $30.10. Costs vary widely — the 90th percentile is $67.56 per claim, 2.2× the median.

Total Paid

$878K

0.00% of all spending

Total Claims

32K

Providers

27

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for E0294? Based on 26 providers billing this code nationally.

Median

$30.10

Average

$35.84

Std Dev

$28.79

Max

$130.86

Percentile Distribution (Cost per Claim)

p10
$10.14
p25
$18.09
Median
$30.10
p75
$39.59
p90
$67.56
p95
$95.70
p99
$123.30

50% of providers bill between $18.09 and $39.59 per claim for this code.

90% bill between $10.14 and $67.56.

Top 1% bill above $123.30.

About This Procedure

HCPCS code E0294 was billed by 27 providers across 32K claims, totaling $878K in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.10

Providers Billing

26

National Spending

$878K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0294

#ProviderTotal Paid
11225476997$122K
21124466891$121K
31053314021$114K
41649618182$100K
51659719193$98K
61669810339$62K
71821152471$44K
81659480424$29K
91558362814$26K
101710985718$25K
111669810107$23K
121710502158$20K
131932118783$20K
141437213089$15K
151831289826$14K
161184653024$13K
171902986904$7K
181326077249$7K
191447679402$5K
201871657437$5K

Showing top 20 of 27 providers billing this code