E0971
HCPCS Procedure Code
HCPCS code E0971 is the #1,660 most-billed Medicaid procedure code, with $16.7M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $13.46. Costs vary widely — the 90th percentile is $51.80 per claim, 3.8× the median.
Total Paid
$16.7M
0.00% of all spending
Total Claims
1.0M
Providers
809
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for E0971? Based on 804 providers billing this code nationally.
Median
$13.46
Average
$21.99
Std Dev
$21.42
Max
$124.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.88 and $36.62 per claim for this code.
90% bill between $1.63 and $51.80.
Top 1% bill above $78.06.
About This Procedure
HCPCS code E0971 was billed by 809 providers across 1.0M claims, totaling $16.7M in Medicaid payments from 2018–2024. This code was used for 671K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.46
Providers Billing
804
National Spending
$16.7M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E0971
| # | Provider | Total Paid |
|---|---|---|
| 1 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $625K |
| 2 | 1639296817 | $453K |
| 3 | 1346711884 | $376K |
| 4 | 1518037787 | $372K |
| 5 | 1043209794 | $332K |
| 6 | 1932484979 | $291K |
| 7 | 1891750691 | $278K |
| 8 | 1003889684 | $241K |
| 9 | 1114966181 | $227K |
| 10 | 1326077249 | $226K |
| 11 | 1184883472 | $207K |
| 12 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $206K |
| 13 | 1487624193 | $203K |
| 14 | 1841263621 | $168K |
| 15 | 1982949459 | $158K |
| 16 | Integra Partners Llc Troy, MI · Orthotic Fitter | $156K |
| 17 | 1497703516 | $155K |
| 18 | 1003052598 | $154K |
| 19 | 1346588225 | $147K |
| 20 | 1144458209 | $142K |
Showing top 20 of 809 providers billing this code