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#1770 of 11K

E0956

HCPCS Procedure Code

HCPCS code E0956 is the #1,770 most-billed Medicaid procedure code, with $14.2M in payments across 120K claims from 2018–2024. The national median cost per claim is $106.01.

Total Paid

$14.2M

0.00% of all spending

Total Claims

120K

Providers

183

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for E0956? Based on 183 providers billing this code nationally.

Median

$106.01

Average

$113.32

Std Dev

$56.66

Max

$513.36

Percentile Distribution (Cost per Claim)

p10
$54.22
p25
$74.40
Median
$106.01
p75
$144.97
p90
$176.49
p95
$203.32
p99
$250.49

50% of providers bill between $74.40 and $144.97 per claim for this code.

90% bill between $54.22 and $176.49.

Top 1% bill above $250.49.

About This Procedure

HCPCS code E0956 was billed by 183 providers across 120K claims, totaling $14.2M in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.01

Providers Billing

183

National Spending

$14.2M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0956

#ProviderTotal Paid
11891750691$948K
21639296817$839K
31114966181$675K
41043209794$566K
51003889684$504K
61932484979$495K
71184883472$450K
81386913937$428K
91487624193$348K
101003052598$339K
111518231547$320K
121780758219$311K
131093112435$308K
141841263621$286K
151053384990$271K
161518037787$252K
171215933791$248K
181144458209$242K
191326011263$241K
201477526333$240K

Showing top 20 of 183 providers billing this code