#5756 of 11K

E0940

HCPCS Procedure Code

HCPCS code E0940 is the #5,756 most-billed Medicaid procedure code, with $144K in payments across 12K claims from 2018–2024. The national median cost per claim is $11.09.

Total Paid

$144K

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for E0940? Based on 18 providers billing this code nationally.

Median

$11.09

Average

$18.73

Std Dev

$32.82

Max

$147.71

Percentile Distribution (Cost per Claim)

p10

$5.02

p25

$6.30

Median

$11.09

p75

$14.43

p90

$20.64

p95

$48.88

p99

$127.95

50% of providers bill between $6.30 and $14.43 per claim for this code.

90% bill between $5.02 and $20.64.

Top 1% bill above $127.95.

About This Procedure

HCPCS code E0940 was billed by 18 providers across 12K claims, totaling $144K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.09

Providers Billing

National Spending

$144K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0940

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1447406111	$39K	$12.40	1.1× median	Above Median
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$35K	$16.02	1.4× median	Above 75th
3	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$26K	$10.97	1.0× median	Below Median
4	1962537241	$15K	$7.44	0.7× median	Below Median
5	1386688414	$6K	$11.21	1.0× median	Above Median
6	1093879009	$5K	$12.07	1.1× median	Above Median
7	1558466243	$3K	$31.43	2.8× median	Top 10%
8	1609958362	$3K	$147.71	13.3× median	Top 1%
9	1447277264	$2K	$14.80	1.3× median	Above 75th
10	1730182023	$2K	$10.52	0.9× median	Below Median
11	1407894348	$2K	$13.33	1.2× median	Above Median
12	1275523581	$1K	$5.69	0.5× median	Below Median
13	1023389293	$1K	$5.92	0.5× median	Below Median
14	1427339530	$1000	$3.08	0.3× median	Below Median
15	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$943	$5.07	0.5× median	Below Median
16	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$816	$16.00	1.4× median	Above 75th
17	Medcare Equipment Company Llc Erie, PA · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$483	$8.63	0.8× median	Below Median
18	1255632394	$122	$4.90	0.4× median	Below Median

Showing top 18 of 18 providers billing this code

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E0950$2.8M E0935$2.4M E0936$277K E0944$4K E0945$460

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