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#5154 of 11K

E0779

HCPCS Procedure Code

HCPCS code E0779 is the #5,154 most-billed Medicaid procedure code, with $274K in payments across 13K claims from 2018–2024. The national median cost per claim is $7.60. Costs vary widely — the 90th percentile is $28.79 per claim, 3.8× the median.

Total Paid

$274K

0.00% of all spending

Total Claims

13K

Providers

13

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for E0779? Based on 11 providers billing this code nationally.

Median

$7.60

Average

$21.27

Std Dev

$32.48

Max

$115.35

Percentile Distribution (Cost per Claim)

p10
$4.70
p25
$5.63
Median
$7.60
p75
$21.45
p90
$28.79
p95
$72.07
p99
$106.69

50% of providers bill between $5.63 and $21.45 per claim for this code.

90% bill between $4.70 and $28.79.

Top 1% bill above $106.69.

About This Procedure

HCPCS code E0779 was billed by 13 providers across 13K claims, totaling $274K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.60

Providers Billing

11

National Spending

$274K

Avg/Median Ratio

2.80×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0779

#ProviderTotal Paid
11790730596$135K
21497756373$55K
31013942788$47K
41538492194$11K
51629525944$7K
6Accredo Health Group Inc

Warrendale, PA · Pharmacy, Community/Retail Pharmacy

$6K
71851309595$4K
81346297983$4K
91609323922$3K
101396852000$2K
111609899590$1K
121447344130$0
131811531544$0

Showing top 13 of 13 providers billing this code