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#3665 of 11K

E0791

HCPCS Procedure Code

HCPCS code E0791 is the #3,665 most-billed Medicaid procedure code, with $1.4M in payments across 9K claims from 2018–2024. The national median cost per claim is $137.65.

Total Paid

$1.4M

0.00% of all spending

Total Claims

9K

Providers

11

Avg Cost/Claim

$149

National Cost Distribution

How much do providers bill per claim for E0791? Based on 10 providers billing this code nationally.

Median

$137.65

Average

$137.75

Std Dev

$105.71

Max

$283.06

Percentile Distribution (Cost per Claim)

p10
$11.42
p25
$50.37
Median
$137.65
p75
$232.80
p90
$269.01
p95
$276.03
p99
$281.66

50% of providers bill between $50.37 and $232.80 per claim for this code.

90% bill between $11.42 and $269.01.

Top 1% bill above $281.66.

About This Procedure

HCPCS code E0791 was billed by 11 providers across 9K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.65

Providers Billing

10

National Spending

$1.4M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0791

#ProviderTotal Paid
11801828389$485K
21760417232$444K
31255330403$185K
41801866173$131K
51538492194$75K
61215966205$29K
71205877958$6K
81790130573$4K
91568974459$2K
101407920259$277
111093346546$0

Showing top 11 of 11 providers billing this code