#5663 of 11K

E0621

HCPCS Procedure Code

HCPCS code E0621 is the #5,663 most-billed Medicaid procedure code, with $158K in payments across 8K claims from 2018–2024. The national median cost per claim is $13.16. Costs vary widely — the 90th percentile is $44.23 per claim, 3.4× the median.

Total Paid

$158K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for E0621? Based on 23 providers billing this code nationally.

Median

$13.16

Average

$17.77

Std Dev

$21.26

Max

$84.35

Percentile Distribution (Cost per Claim)

p10

$0.44

p25

$0.86

Median

$13.16

p75

$21.69

p90

$44.23

p95

$53.73

p99

$77.80

50% of providers bill between $0.86 and $21.69 per claim for this code.

90% bill between $0.44 and $44.23.

Top 1% bill above $77.80.

About This Procedure

HCPCS code E0621 was billed by 24 providers across 8K claims, totaling $158K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.16

Providers Billing

National Spending

$158K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0621

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1386688414	$63K	$34.84	2.6× median	Above 75th
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$44K	$54.59	4.1× median	Top 10%
3	1447277264	$35K	$46.06	3.5× median	Top 10%
4	1083655476	$3K	$19.91	1.5× median	Above Median
5	1093716334	$3K	$18.17	1.4× median	Above Median
6	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$2K	$4.49	0.3× median	Below Median
7	1245387943	$2K	$17.97	1.4× median	Above Median
8	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$2K	$13.16	1.0× median	Below Median
9	1487608949	$1K	$84.35	6.4× median	Top 1%
10	1174749972	$835	$14.91	1.1× median	Above Median
11	1114993490	$814	$0.59	0.0× median	Below Median
12	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$591	$36.92	2.8× median	Above 75th
13	1063487304	$579	$0.64	0.0× median	Below Median
14	1033289889	$359	$8.98	0.7× median	Below Median
15	1922006741	$282	$23.46	1.8× median	Above 75th
16	1649228909	$248	$2.95	0.2× median	Below Median
17	1780663823	$247	$9.51	0.7× median	Below Median
18	1275523581	$220	$14.65	1.1× median	Above Median
19	1477594877	$92	$0.88	0.1× median	Below Median
20	1568537009	$83	$0.84	0.1× median	Below Median

Showing top 20 of 24 providers billing this code

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E0630$21.8M E0619$8.0M E0627$1.5M E0618$899K E0617$833K

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