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#1283 of 11K

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)

p10
$10.94
p25
$24.02
Median
$43.51
p75
$68.84
p90
$111.42
p95
$130.04
p99
$181.64

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

#ProviderTotal Paid
11639296817$1.4M
21043209794$1.1M
31932484979$711K
41487624193$639K
51003889684$623K
61891750691$603K
71114966181$593K
81184883472$585K
91003052598$429K
101346711884$410K
111841263621$402K
121215933791$374K
131780758219$355K
141912987132$352K
151982949459$349K
161538576509$347K
171326011263$344K
181093112435$327K
191144458209$321K
201518037787$311K

Showing top 20 of 450 providers billing this code