E0435
HCPCS Procedure Code
HCPCS code E0435 is the #7,565 most-billed Medicaid procedure code, with $15K in payments across 539 claims from 2018–2024. The national median cost per claim is $14.28. Costs vary widely — the 90th percentile is $60.48 per claim, 4.2× the median.
Total Paid
$15K
0.00% of all spending
Total Claims
539
Providers
3
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for E0435? Based on 3 providers billing this code nationally.
Median
$14.28
Average
$30.55
Std Dev
$36.20
Max
$72.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.80 and $43.16 per claim for this code.
90% bill between $7.12 and $60.48.
Top 1% bill above $70.87.
About This Procedure
HCPCS code E0435 was billed by 3 providers across 539 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 439 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.28
Providers Billing
3
National Spending
$15K
Avg/Median Ratio
2.14×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.