#3481 of 11K

E1060

HCPCS Procedure Code

HCPCS code E1060 is the #3,481 most-billed Medicaid procedure code, with $1.6M in payments across 25K claims from 2018–2024. The national median cost per claim is $68.29.

Total Paid

$1.6M

0.00% of all spending

Total Claims

25K

Providers

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for E1060? Based on 20 providers billing this code nationally.

Median

$68.29

Average

$67.13

Std Dev

$26.00

Max

$115.48

Percentile Distribution (Cost per Claim)

p10

$30.28

p25

$57.81

Median

$68.29

p75

$79.63

p90

$96.83

p95

$113.23

p99

$115.03

50% of providers bill between $57.81 and $79.63 per claim for this code.

90% bill between $30.28 and $96.83.

Top 1% bill above $115.03.

About This Procedure

HCPCS code E1060 was billed by 20 providers across 25K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.29

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1060

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$873K	$63.45	0.9× median	Below Median
2	1376620815	$140K	$74.13	1.1× median	Above Median
3	1811060544	$89K	$79.14	1.2× median	Above Median
4	1417948258	$76K	$79.33	1.2× median	Above Median
5	1568483410	$74K	$115.48	1.7× median	Top 1%
6	1457348807	$64K	$60.73	0.9× median	Below Median
7	1336123678	$59K	$59.20	0.9× median	Below Median
8	1629507579	$58K	$68.03	1.0× median	Below Median
9	1588976815	$36K	$61.98	0.9× median	Below Median
10	1033289889	$35K	$82.50	1.2× median	Above 75th
11	1801866173	$26K	$80.52	1.2× median	Above 75th
12	1306961792	$21K	$95.03	1.4× median	Above 75th
13	1366427015	$15K	$53.63	0.8× median	Below Median
14	1255382123	$15K	$50.78	0.7× median	Below Median
15	1497389845	$14K	$68.54	1.0× median	Above Median
16	1447277264	$13K	$23.15	0.3× median	Below Median
17	1497837280	$6K	$31.07	0.5× median	Below Median
18	1437108214	$4K	$12.25	0.2× median	Below Median
19	Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization	$3K	$70.52	1.0× median	Above Median
20	1275733206	$2K	$113.11	1.7× median	Top 10%

Showing top 20 of 20 providers billing this code

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