E0973
HCPCS Procedure Code
HCPCS code E0973 is the #1,226 most-billed Medicaid procedure code, with $32.6M in payments across 653K claims from 2018–2024. The national median cost per claim is $42.75. Costs vary widely — the 90th percentile is $123.83 per claim, 2.9× the median.
Total Paid
$32.6M
0.00% of all spending
Total Claims
653K
Providers
632
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for E0973? Based on 631 providers billing this code nationally.
Median
$42.75
Average
$53.83
Std Dev
$46.44
Max
$274.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.80 and $78.53 per claim for this code.
90% bill between $5.09 and $123.83.
Top 1% bill above $186.04.
About This Procedure
HCPCS code E0973 was billed by 632 providers across 653K claims, totaling $32.6M in Medicaid payments from 2018–2024. This code was used for 420K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.75
Providers Billing
631
National Spending
$32.6M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0973
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $1.1M |
| 2 | 1487624193 | $1.0M |
| 3 | 1932484979 | $847K |
| 4 | 1043209794 | $790K |
| 5 | 1497703516 | $764K |
| 6 | 1518037787 | $749K |
| 7 | 1346711884 | $738K |
| 8 | 1891750691 | $716K |
| 9 | 1003889684 | $712K |
| 10 | 1114966181 | $567K |
| 11 | 1841263621 | $434K |
| 12 | 1972573137 | $400K |
| 13 | 1184883472 | $388K |
| 14 | 1144458209 | $366K |
| 15 | 1912987132 | $365K |
| 16 | 1982949459 | $356K |
| 17 | 1518231547 | $340K |
| 18 | 1912978669 | $332K |
| 19 | 1386913937 | $326K |
| 20 | 1053314021 | $317K |
Showing top 20 of 632 providers billing this code