E0974
HCPCS Procedure Code
HCPCS code E0974 is the #7,625 most-billed Medicaid procedure code, with $13K in payments across 2,082 claims from 2018–2024. The national median cost per claim is $5.37. Costs vary widely — the 90th percentile is $57.81 per claim, 10.8× the median.
Total Paid
$13K
0.00% of all spending
Total Claims
2,082
Providers
6
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for E0974? Based on 5 providers billing this code nationally.
Median
$5.37
Average
$23.83
Std Dev
$30.26
Max
$69.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.20 and $39.60 per claim for this code.
90% bill between $1.88 and $57.81.
Top 1% bill above $68.74.
About This Procedure
HCPCS code E0974 was billed by 6 providers across 2,082 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 1,398 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.37
Providers Billing
5
National Spending
$13K
Avg/Median Ratio
4.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0974
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1023232501 | $4K |
| 2 | 1306961792 | $3K |
| 3 | 1477138386 | $3K |
| 4 | 1427339530 | $2K |
| 5 | 1306829197 | $419 |
| 6 | 1659008159 | $0 |
Showing top 6 of 6 providers billing this code