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#2251 of 11K

E0442

HCPCS Procedure Code

HCPCS code E0442 is the #2,251 most-billed Medicaid procedure code, with $7.4M in payments across 191K claims from 2018–2024. The national median cost per claim is $31.85.

Total Paid

$7.4M

0.00% of all spending

Total Claims

191K

Providers

61

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for E0442? Based on 59 providers billing this code nationally.

Median

$31.85

Average

$31.47

Std Dev

$16.09

Max

$72.80

Percentile Distribution (Cost per Claim)

p10
$13.04
p25
$17.17
Median
$31.85
p75
$42.91
p90
$48.96
p95
$55.76
p99
$71.56

50% of providers bill between $17.17 and $42.91 per claim for this code.

90% bill between $13.04 and $48.96.

Top 1% bill above $71.56.

About This Procedure

HCPCS code E0442 was billed by 61 providers across 191K claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 161K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.85

Providers Billing

59

National Spending

$7.4M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0442

#ProviderTotal Paid
11720128903$3.0M
21730127283$2.0M
31528009933$406K
41992846836$213K
51972531341$197K
61225077670$167K
71689665911$143K
81376698696$135K
91114035474$113K
101467491449$108K
111750352308$104K
121497860282$94K
131437742566$67K
141699961771$58K
151306881750$56K
161821158692$56K
171780623728$52K
181922332956$48K
191346457108$43K
201780623686$38K

Showing top 20 of 61 providers billing this code