E0955
HCPCS Procedure Code
HCPCS code E0955 is the #1,283 most-billed Medicaid procedure code, with $29.3M in payments across 579K claims from 2018–2024. The national median cost per claim is $43.51. Costs vary widely — the 90th percentile is $111.42 per claim, 2.6× the median.
Total Paid
$29.3M
0.00% of all spending
Total Claims
579K
Providers
450
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for E0955? Based on 449 providers billing this code nationally.
Median
$43.51
Average
$54.23
Std Dev
$53.03
Max
$643.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.02 and $68.84 per claim for this code.
90% bill between $10.94 and $111.42.
Top 1% bill above $181.64.
About This Procedure
HCPCS code E0955 was billed by 450 providers across 579K claims, totaling $29.3M in Medicaid payments from 2018–2024. This code was used for 501K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.51
Providers Billing
449
National Spending
$29.3M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0955
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $1.4M |
| 2 | 1043209794 | $1.1M |
| 3 | 1932484979 | $711K |
| 4 | 1487624193 | $639K |
| 5 | 1003889684 | $623K |
| 6 | 1891750691 | $603K |
| 7 | 1114966181 | $593K |
| 8 | 1184883472 | $585K |
| 9 | 1003052598 | $429K |
| 10 | 1346711884 | $410K |
| 11 | 1841263621 | $402K |
| 12 | 1215933791 | $374K |
| 13 | 1780758219 | $355K |
| 14 | 1912987132 | $352K |
| 15 | 1982949459 | $349K |
| 16 | 1538576509 | $347K |
| 17 | 1326011263 | $344K |
| 18 | 1093112435 | $327K |
| 19 | 1144458209 | $321K |
| 20 | 1518037787 | $311K |
Showing top 20 of 450 providers billing this code