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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326105842 | $824K |
| 2 | 1386777498 | $37K |
| 3 | 1295049815 | $20K |
| 4 | 1912521428 | $9K |
| 5 | 1003345026 | $3K |
| 6 | 1851421663 | $2K |
| 7 | 1043712219 | $918 |
| 8 | 1366628943 | $0 |
Showing top 8 of 8 providers billing this code