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#8376 of 11K

E0995

HCPCS Procedure Code

HCPCS code E0995 is the #8,376 most-billed Medicaid procedure code, with $3K in payments across 567 claims from 2018–2024. The national median cost per claim is $5.42. Costs vary widely — the 90th percentile is $14.23 per claim, 2.6× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

567

Providers

5

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for E0995? Based on 5 providers billing this code nationally.

Median

$5.42

Average

$8.37

Std Dev

$5.25

Max

$15.08

Percentile Distribution (Cost per Claim)

p10
$4.09
p25
$4.76
Median
$5.42
p75
$12.97
p90
$14.23
p95
$14.66
p99
$15.00

50% of providers bill between $4.76 and $12.97 per claim for this code.

90% bill between $4.09 and $14.23.

Top 1% bill above $15.00.

About This Procedure

HCPCS code E0995 was billed by 5 providers across 567 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 439 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.42

Providers Billing

5

National Spending

$3K

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0995

#ProviderTotal Paid
11093112435$3K
21043209794$428
31841263621$181
41083626295$113
51326011263$67

Showing top 5 of 5 providers billing this code