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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407307614 | $626K |
| 2 | 1508317751 | $193K |
| 3 | 1871503235 | $157K |
| 4 | 1831648815 | $141K |
| 5 | 1487186847 | $119K |
| 6 | Integra Partners Llc Troy, MI · Orthotic Fitter | $62K |
| 7 | 1881790004 | $5K |
| 8 | 1992785315 | $3K |
Showing top 8 of 8 providers billing this code