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#2667 of 11K

E0430

HCPCS Procedure Code

HCPCS code E0430 is the #2,667 most-billed Medicaid procedure code, with $4.3M in payments across 107K claims from 2018–2024. The national median cost per claim is $31.38.

Total Paid

$4.3M

0.00% of all spending

Total Claims

107K

Providers

56

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for E0430? Based on 56 providers billing this code nationally.

Median

$31.38

Average

$33.65

Std Dev

$15.20

Max

$89.01

Percentile Distribution (Cost per Claim)

p10
$20.22
p25
$24.34
Median
$31.38
p75
$39.98
p90
$50.20
p95
$57.06
p99
$80.61

50% of providers bill between $24.34 and $39.98 per claim for this code.

90% bill between $20.22 and $50.20.

Top 1% bill above $80.61.

About This Procedure

HCPCS code E0430 was billed by 56 providers across 107K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.38

Providers Billing

56

National Spending

$4.3M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0430

#ProviderTotal Paid
11992764658$1.6M
21144371204$535K
31578669529$214K
41669476099$196K
51154355402$154K
61659442887$145K
71780755926$130K
81669543591$123K
91639156185$123K
101235582560$99K
111740351980$90K
121649341579$82K
131982646543$69K
141831199132$66K
151811068059$64K
161326046269$48K
171184625725$48K
181760436547$43K
191811991193$40K
201245678499$31K

Showing top 20 of 56 providers billing this code