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#4257 of 11K

E0849

HCPCS Procedure Code

HCPCS code E0849 is the #4,257 most-billed Medicaid procedure code, with $711K in payments across 15K claims from 2018–2024. The national median cost per claim is $16.39. Costs vary widely — the 90th percentile is $100.10 per claim, 6.1× the median.

Total Paid

$711K

0.00% of all spending

Total Claims

15K

Providers

20

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for E0849? Based on 19 providers billing this code nationally.

Median

$16.39

Average

$54.07

Std Dev

$99.99

Max

$443.36

Percentile Distribution (Cost per Claim)

p10
$6.39
p25
$7.96
Median
$16.39
p75
$52.66
p90
$100.10
p95
$151.23
p99
$384.93

50% of providers bill between $7.96 and $52.66 per claim for this code.

90% bill between $6.39 and $100.10.

Top 1% bill above $384.93.

About This Procedure

HCPCS code E0849 was billed by 20 providers across 15K claims, totaling $711K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.39

Providers Billing

19

National Spending

$711K

Avg/Median Ratio

3.30×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0849

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$338K
21306849534$260K
31770511552$51K
41245593052$29K
51215958202$8K
61124336722$7K
71780667303$7K
81891761615$2K
91689665911$2K
101881900306$1K
111437385069$1K
121144879313$1K
131528518537$1K
141619166154$967
15Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$628
161851619985$599
171386137727$271
181134182207$92
191386785293$92
20Permanente Medical Group Inc

Vallejo, CA · Anesthesiology

$0

Showing top 20 of 20 providers billing this code

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