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#4141 of 11K

E1035

HCPCS Procedure Code

HCPCS code E1035 is the #4,141 most-billed Medicaid procedure code, with $807K in payments across 12K claims from 2018–2024. The national median cost per claim is $25.19. Costs vary widely — the 90th percentile is $79.40 per claim, 3.2× the median.

Total Paid

$807K

0.00% of all spending

Total Claims

12K

Providers

13

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for E1035? Based on 12 providers billing this code nationally.

Median

$25.19

Average

$395.17

Std Dev

$1,247.85

Max

$4,356.53

Percentile Distribution (Cost per Claim)

p10
$6.21
p25
$11.39
Median
$25.19
p75
$71.89
p90
$79.40
p95
$2,004.40
p99
$3,886.10

50% of providers bill between $11.39 and $71.89 per claim for this code.

90% bill between $6.21 and $79.40.

Top 1% bill above $3,886.10.

About This Procedure

HCPCS code E1035 was billed by 13 providers across 12K claims, totaling $807K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.19

Providers Billing

12

National Spending

$807K

Avg/Median Ratio

15.69×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E1035

#ProviderTotal Paid
11144522830$309K
21578609327$277K
31598769374$73K
41831501493$60K
51366622490$35K
61578505376$16K
71689671836$16K
81134182207$12K
91942308754$6K
101134303902$2K
111760400014$799
121356450282$0
131942617162$0

Showing top 13 of 13 providers billing this code