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#6257 of 11K

E0957

HCPCS Procedure Code

HCPCS code E0957 is the #6,257 most-billed Medicaid procedure code, with $80K in payments across 973 claims from 2018–2024. The national median cost per claim is $91.12.

Total Paid

$80K

0.00% of all spending

Total Claims

973

Providers

13

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for E0957? Based on 13 providers billing this code nationally.

Median

$91.12

Average

$91.46

Std Dev

$17.62

Max

$123.24

Percentile Distribution (Cost per Claim)

p10
$71.87
p25
$76.86
Median
$91.12
p75
$104.64
p90
$115.04
p95
$119.22
p99
$122.43

50% of providers bill between $76.86 and $104.64 per claim for this code.

90% bill between $71.87 and $115.04.

Top 1% bill above $122.43.

About This Procedure

HCPCS code E0957 was billed by 13 providers across 973 claims, totaling $80K in Medicaid payments from 2018–2024. This code was used for 813 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.12

Providers Billing

13

National Spending

$80K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0957

#ProviderTotal Paid
11093112435$38K
21043209794$18K
31609858752$5K
41326011263$4K
51215933791$4K
61902829500$2K
71538576509$2K
81003052598$2K
91235102179$1K
101053384990$1K
111780758219$1K
121225401284$1K
131477526333$1K

Showing top 13 of 13 providers billing this code