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#3175 of 11K

E0951

HCPCS Procedure Code

HCPCS code E0951 is the #3,175 most-billed Medicaid procedure code, with $2.3M in payments across 268K claims from 2018–2024. The national median cost per claim is $9.88. Costs vary widely — the 90th percentile is $21.26 per claim, 2.2× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

268K

Providers

337

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for E0951? Based on 337 providers billing this code nationally.

Median

$9.88

Average

$12.54

Std Dev

$35.66

Max

$646.72

Percentile Distribution (Cost per Claim)

p10
$0.86
p25
$3.40
Median
$9.88
p75
$16.06
p90
$21.26
p95
$27.32
p99
$35.40

50% of providers bill between $3.40 and $16.06 per claim for this code.

90% bill between $0.86 and $21.26.

Top 1% bill above $35.40.

About This Procedure

HCPCS code E0951 was billed by 337 providers across 268K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 167K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.88

Providers Billing

337

National Spending

$2.3M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0951

#ProviderTotal Paid
11518037787$108K
21346711884$102K
31932484979$98K
41821418187$82K
51003889684$69K
61184883472$62K
71487624193$56K
81780758219$44K
91841263621$44K
101427339530$43K
111538576509$41K
12H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$39K
131215933791$38K
141114966181$38K
151003052598$38K
161639296817$33K
171013998368$33K
181053314021$33K
191407497977$32K
201326011263$31K

Showing top 20 of 337 providers billing this code