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#5144 of 11K

E0936

HCPCS Procedure Code

HCPCS code E0936 is the #5,144 most-billed Medicaid procedure code, with $277K in payments across 4,887 claims from 2018–2024. The national median cost per claim is $93.65. Costs vary widely — the 90th percentile is $257.82 per claim, 2.8× the median.

Total Paid

$277K

0.00% of all spending

Total Claims

4,887

Providers

4

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for E0936? Based on 4 providers billing this code nationally.

Median

$93.65

Average

$139.72

Std Dev

$121.69

Max

$317.51

Percentile Distribution (Cost per Claim)

p10
$58.48
p25
$65.08
Median
$93.65
p75
$168.29
p90
$257.82
p95
$287.67
p99
$311.54

50% of providers bill between $65.08 and $168.29 per claim for this code.

90% bill between $58.48 and $257.82.

Top 1% bill above $311.54.

About This Procedure

HCPCS code E0936 was billed by 4 providers across 4,887 claims, totaling $277K in Medicaid payments from 2018–2024. This code was used for 3,647 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$93.65

Providers Billing

4

National Spending

$277K

Avg/Median Ratio

1.49×

Normal distribution

Provider Coverage

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