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#1268 of 11K

E0781

HCPCS Procedure Code

HCPCS code E0781 is the #1,268 most-billed Medicaid procedure code, with $30.0M in payments across 514K claims from 2018–2024. The national median cost per claim is $54.38. Costs vary widely — the 90th percentile is $189.72 per claim, 3.5× the median.

Total Paid

$30.0M

0.00% of all spending

Total Claims

514K

Providers

106

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for E0781? Based on 103 providers billing this code nationally.

Median

$54.38

Average

$116.37

Std Dev

$403.26

Max

$4,099.92

Percentile Distribution (Cost per Claim)

p10
$3.39
p25
$16.23
Median
$54.38
p75
$126.47
p90
$189.72
p95
$232.69
p99
$295.93

50% of providers bill between $16.23 and $126.47 per claim for this code.

90% bill between $3.39 and $189.72.

Top 1% bill above $295.93.

About This Procedure

HCPCS code E0781 was billed by 106 providers across 514K claims, totaling $30.0M in Medicaid payments from 2018–2024. This code was used for 251K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.38

Providers Billing

103

National Spending

$30.0M

Avg/Median Ratio

2.14×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0781

#ProviderTotal Paid
11790730596$20.6M
2Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$1.2M
3Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$943K
4Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$783K
51457658486$535K
61396852000$525K
71285687749$514K
81255336517$388K
91710225271$338K
101720082449$278K
111215966205$276K
121407807191$229K
131366580391$215K
141760425011$185K
151831241033$178K
161417907627$169K
171740699586$154K
181215012364$148K
191467726638$133K
201346270527$130K

Showing top 20 of 106 providers billing this code