Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7914 of 11K

E0856

HCPCS Procedure Code

HCPCS code E0856 is the #7,914 most-billed Medicaid procedure code, with $8K in payments across 639 claims from 2018–2024. The national median cost per claim is $11.87.

Total Paid

$8K

0.00% of all spending

Total Claims

639

Providers

4

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for E0856? Based on 4 providers billing this code nationally.

Median

$11.87

Average

$12.09

Std Dev

$9.22

Max

$20.93

Percentile Distribution (Cost per Claim)

p10
$3.95
p25
$4.36
Median
$11.87
p75
$19.60
p90
$20.40
p95
$20.66
p99
$20.87

50% of providers bill between $4.36 and $19.60 per claim for this code.

90% bill between $3.95 and $20.40.

Top 1% bill above $20.87.

About This Procedure

HCPCS code E0856 was billed by 4 providers across 639 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 630 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.87

Providers Billing

4

National Spending

$8K

Avg/Median Ratio

1.02×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures