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#3576 of 11K

E0627

HCPCS Procedure Code

HCPCS code E0627 is the #3,576 most-billed Medicaid procedure code, with $1.5M in payments across 14K claims from 2018–2024. The national median cost per claim is $69.41. Costs vary widely — the 90th percentile is $240.88 per claim, 3.5× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

14K

Providers

34

Avg Cost/Claim

$104

National Cost Distribution

How much do providers bill per claim for E0627? Based on 31 providers billing this code nationally.

Median

$69.41

Average

$98.23

Std Dev

$82.58

Max

$309.71

Percentile Distribution (Cost per Claim)

p10
$25.16
p25
$41.57
Median
$69.41
p75
$125.40
p90
$240.88
p95
$257.71
p99
$295.47

50% of providers bill between $41.57 and $125.40 per claim for this code.

90% bill between $25.16 and $240.88.

Top 1% bill above $295.47.

About This Procedure

HCPCS code E0627 was billed by 34 providers across 14K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.41

Providers Billing

31

National Spending

$1.5M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0627

#ProviderTotal Paid
11053314021$1.1M
21689665911$50K
31871575563$49K
41346248341$47K
51447277264$37K
61235372848$34K
71205837879$24K
81588718167$22K
91861576282$19K
101013979640$16K
111629025770$13K
121316078199$12K
131235389347$9K
141043215106$9K
151629072665$7K
161922006741$7K
171518041334$5K
181801836309$4K
191780663823$4K
201629218318$4K

Showing top 20 of 34 providers billing this code