E0954
HCPCS Procedure Code
HCPCS code E0954 is the #3,944 most-billed Medicaid procedure code, with $993K in payments across 8,322 claims from 2018–2024. The national median cost per claim is $59.93. Costs vary widely — the 90th percentile is $135.27 per claim, 2.3× the median.
Total Paid
$993K
0.00% of all spending
Total Claims
8,322
Providers
20
Avg Cost/Claim
$119
National Cost Distribution
How much do providers bill per claim for E0954? Based on 20 providers billing this code nationally.
Median
$59.93
Average
$73.01
Std Dev
$48.56
Max
$200.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.67 and $98.65 per claim for this code.
90% bill between $22.16 and $135.27.
Top 1% bill above $190.35.
About This Procedure
HCPCS code E0954 was billed by 20 providers across 8,322 claims, totaling $993K in Medicaid payments from 2018–2024. This code was used for 5,752 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.93
Providers Billing
20
National Spending
$993K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0954
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $445K |
| 2 | 1891750691 | $263K |
| 3 | 1043209794 | $127K |
| 4 | 1982949459 | $72K |
| 5 | 1114966181 | $51K |
| 6 | 1184883472 | $10K |
| 7 | 1871710715 | $7K |
| 8 | 1740293521 | $4K |
| 9 | 1568475341 | $2K |
| 10 | 1841263621 | $2K |
| 11 | 1538576509 | $2K |
| 12 | 1346711884 | $2K |
| 13 | 1013224112 | $1K |
| 14 | 1912987132 | $1K |
| 15 | 1932484979 | $913 |
| 16 | 1912494626 | $779 |
| 17 | 1588732812 | $680 |
| 18 | 1205837879 | $551 |
| 19 | 1326011263 | $461 |
| 20 | 1487718250 | $273 |
Showing top 20 of 20 providers billing this code