E0990
HCPCS Procedure Code
HCPCS code E0990 is the #2,298 most-billed Medicaid procedure code, with $7.0M in payments across 233K claims from 2018–2024. The national median cost per claim is $19.31. Costs vary widely — the 90th percentile is $128.58 per claim, 6.7× the median.
Total Paid
$7.0M
0.00% of all spending
Total Claims
233K
Providers
155
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for E0990? Based on 154 providers billing this code nationally.
Median
$19.31
Average
$44.07
Std Dev
$50.81
Max
$189.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.36 and $69.12 per claim for this code.
90% bill between $4.54 and $128.58.
Top 1% bill above $178.07.
About This Procedure
HCPCS code E0990 was billed by 155 providers across 233K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 201K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.31
Providers Billing
154
National Spending
$7.0M
Avg/Median Ratio
2.28×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0990
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $994K |
| 2 | 1891750691 | $650K |
| 3 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $602K |
| 4 | 1114966181 | $458K |
| 5 | Integra Partners Llc Troy, MI · Orthotic Fitter | $428K |
| 6 | 1043209794 | $352K |
| 7 | 1326077249 | $300K |
| 8 | 1982949459 | $294K |
| 9 | 1518037787 | $283K |
| 10 | 1851328157 | $278K |
| 11 | 1497703516 | $277K |
| 12 | 1093716334 | $263K |
| 13 | 1346711884 | $127K |
| 14 | 1407497977 | $112K |
| 15 | 1538128293 | $99K |
| 16 | 1801866173 | $92K |
| 17 | 1740293521 | $91K |
| 18 | 1265526396 | $85K |
| 19 | 1609874072 | $83K |
| 20 | 1245387943 | $58K |
Showing top 20 of 155 providers billing this code