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#1524 of 11K

E0424

HCPCS Procedure Code

HCPCS code E0424 is the #1,524 most-billed Medicaid procedure code, with $20.1M in payments across 211K claims from 2018–2024. The national median cost per claim is $81.60.

Total Paid

$20.1M

0.00% of all spending

Total Claims

211K

Providers

143

Avg Cost/Claim

$95

National Cost Distribution

How much do providers bill per claim for E0424? Based on 139 providers billing this code nationally.

Median

$81.60

Average

$87.54

Std Dev

$46.07

Max

$306.52

Percentile Distribution (Cost per Claim)

p10
$32.04
p25
$62.37
Median
$81.60
p75
$110.93
p90
$149.03
p95
$163.49
p99
$205.68

50% of providers bill between $62.37 and $110.93 per claim for this code.

90% bill between $32.04 and $149.03.

Top 1% bill above $205.68.

About This Procedure

HCPCS code E0424 was billed by 143 providers across 211K claims, totaling $20.1M in Medicaid payments from 2018–2024. This code was used for 197K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.60

Providers Billing

139

National Spending

$20.1M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0424

#ProviderTotal Paid
1Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$2.4M
21033289889$1.3M
31871738153$1.1M
41013934694$989K
5Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$688K
61659487379$637K
71710083027$524K
81497389845$514K
91770581498$482K
101144239799$425K
111629507579$401K
121386925568$397K
131114267127$388K
141881603215$374K
151881655421$356K
161104882638$318K
171235202524$311K
181457348807$309K
191245618404$305K
201386745396$295K

Showing top 20 of 143 providers billing this code