E0978
HCPCS Procedure Code
HCPCS code E0978 is the #2,373 most-billed Medicaid procedure code, with $6.3M in payments across 469K claims from 2018–2024. The national median cost per claim is $14.50.
Total Paid
$6.3M
0.00% of all spending
Total Claims
469K
Providers
512
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for E0978? Based on 510 providers billing this code nationally.
Median
$14.50
Average
$15.01
Std Dev
$10.14
Max
$53.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.95 and $21.91 per claim for this code.
90% bill between $2.28 and $27.93.
Top 1% bill above $44.06.
About This Procedure
HCPCS code E0978 was billed by 512 providers across 469K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 416K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.50
Providers Billing
510
National Spending
$6.3M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0978
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932484979 | $179K |
| 2 | 1487624193 | $171K |
| 3 | 1043209794 | $170K |
| 4 | 1003889684 | $153K |
| 5 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $128K |
| 6 | 1184883472 | $121K |
| 7 | 1326011263 | $105K |
| 8 | 1841263621 | $102K |
| 9 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $101K |
| 10 | 1639296817 | $100K |
| 11 | 1326077249 | $98K |
| 12 | Integra Partners Llc Troy, MI · Orthotic Fitter | $91K |
| 13 | 1497703516 | $90K |
| 14 | 1780758219 | $86K |
| 15 | 1912987132 | $83K |
| 16 | 1972573137 | $82K |
| 17 | 1144458209 | $80K |
| 18 | 1093112435 | $78K |
| 19 | 1386913937 | $78K |
| 20 | 1679546519 | $76K |
Showing top 20 of 512 providers billing this code