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#3703 of 11K

E0855

HCPCS Procedure Code

HCPCS code E0855 is the #3,703 most-billed Medicaid procedure code, with $1.3M in payments across 3,722 claims from 2018–2024. The national median cost per claim is $347.61.

Total Paid

$1.3M

0.00% of all spending

Total Claims

3,722

Providers

8

Avg Cost/Claim

$351

National Cost Distribution

How much do providers bill per claim for E0855? Based on 8 providers billing this code nationally.

Median

$347.61

Average

$315.48

Std Dev

$118.54

Max

$410.11

Percentile Distribution (Cost per Claim)

p10
$219.64
p25
$312.18
Median
$347.61
p75
$382.19
p90
$392.24
p95
$401.18
p99
$408.32

50% of providers bill between $312.18 and $382.19 per claim for this code.

90% bill between $219.64 and $392.24.

Top 1% bill above $408.32.

About This Procedure

HCPCS code E0855 was billed by 8 providers across 3,722 claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 3,605 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$347.61

Providers Billing

8

National Spending

$1.3M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0855

#ProviderTotal Paid
11407307614$626K
21508317751$193K
31871503235$157K
41831648815$141K
51487186847$119K
6Integra Partners Llc

Troy, MI · Orthotic Fitter

$62K
71881790004$5K
81992785315$3K

Showing top 8 of 8 providers billing this code

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