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#7287 of 11K

E0994

HCPCS Procedure Code

HCPCS code E0994 is the #7,287 most-billed Medicaid procedure code, with $22K in payments across 1,003 claims from 2018–2024. The national median cost per claim is $19.93.

Total Paid

$22K

0.00% of all spending

Total Claims

1,003

Providers

6

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for E0994? Based on 6 providers billing this code nationally.

Median

$19.93

Average

$23.77

Std Dev

$9.66

Max

$38.96

Percentile Distribution (Cost per Claim)

p10
$15.77
p25
$18.15
Median
$19.93
p75
$29.18
p90
$35.60
p95
$37.28
p99
$38.62

50% of providers bill between $18.15 and $29.18 per claim for this code.

90% bill between $15.77 and $35.60.

Top 1% bill above $38.62.

About This Procedure

HCPCS code E0994 was billed by 6 providers across 1,003 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 856 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.93

Providers Billing

6

National Spending

$22K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0994

#ProviderTotal Paid
11093112435$10K
21205128261$7K
31164609699$4K
41780663823$601
51437502838$545
61083626295$433

Showing top 6 of 6 providers billing this code