Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4129 of 11K

E0301

HCPCS Procedure Code

HCPCS code E0301 is the #4,129 most-billed Medicaid procedure code, with $822K in payments across 4K claims from 2018–2024. The national median cost per claim is $81.08. Costs vary widely — the 90th percentile is $422.55 per claim, 5.2× the median.

Total Paid

$822K

0.00% of all spending

Total Claims

4K

Providers

9

Avg Cost/Claim

$201

National Cost Distribution

How much do providers bill per claim for E0301? Based on 9 providers billing this code nationally.

Median

$81.08

Average

$178.20

Std Dev

$164.59

Max

$443.64

Percentile Distribution (Cost per Claim)

p10
$46.81
p25
$62.11
Median
$81.08
p75
$310.14
p90
$422.55
p95
$433.09
p99
$441.53

50% of providers bill between $62.11 and $310.14 per claim for this code.

90% bill between $46.81 and $422.55.

Top 1% bill above $441.53.

About This Procedure

HCPCS code E0301 was billed by 9 providers across 4K claims, totaling $822K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.08

Providers Billing

9

National Spending

$822K

Avg/Median Ratio

2.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0301

#ProviderTotal Paid
11730770553$373K
21902075575$199K
3Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$133K
41881765501$31K
51023861150$31K
61093716334$29K
71215039466$11K
81134303902$8K
9Integra Partners Llc

Troy, MI · Orthotic Fitter

$6K

Showing top 9 of 9 providers billing this code