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#4050 of 11K

E0691

HCPCS Procedure Code

HCPCS code E0691 is the #4,050 most-billed Medicaid procedure code, with $896K in payments across 2,425 claims from 2018–2024. The national median cost per claim is $81.07. Costs vary widely — the 90th percentile is $290.41 per claim, 3.6× the median.

Total Paid

$896K

0.00% of all spending

Total Claims

2,425

Providers

8

Avg Cost/Claim

$370

National Cost Distribution

How much do providers bill per claim for E0691? Based on 7 providers billing this code nationally.

Median

$81.07

Average

$144.26

Std Dev

$173.74

Max

$533.40

Percentile Distribution (Cost per Claim)

p10
$55.89
p25
$65.59
Median
$81.07
p75
$111.41
p90
$290.41
p95
$411.90
p99
$509.10

50% of providers bill between $65.59 and $111.41 per claim for this code.

90% bill between $55.89 and $290.41.

Top 1% bill above $509.10.

About This Procedure

HCPCS code E0691 was billed by 8 providers across 2,425 claims, totaling $896K in Medicaid payments from 2018–2024. This code was used for 2,355 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.07

Providers Billing

7

National Spending

$896K

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0691

#ProviderTotal Paid
11326105842$824K
21386777498$37K
31295049815$20K
41912521428$9K
51003345026$3K
61851421663$2K
71043712219$918
81366628943$0

Showing top 8 of 8 providers billing this code