Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7365 of 11K

E1084

HCPCS Procedure Code

HCPCS code E1084 is the #7,365 most-billed Medicaid procedure code, with $20K in payments across 123 claims from 2018–2024. The national median cost per claim is $68.13. Costs vary widely — the 90th percentile is $660.51 per claim, 9.7× the median.

Total Paid

$20K

0.00% of all spending

Total Claims

123

Providers

3

Avg Cost/Claim

$159

National Cost Distribution

How much do providers bill per claim for E1084? Based on 3 providers billing this code nationally.

Median

$68.13

Average

$298.86

Std Dev

$442.12

Max

$808.61

Percentile Distribution (Cost per Claim)

p10
$29.49
p25
$43.98
Median
$68.13
p75
$438.37
p90
$660.51
p95
$734.56
p99
$793.80

50% of providers bill between $43.98 and $438.37 per claim for this code.

90% bill between $29.49 and $660.51.

Top 1% bill above $793.80.

About This Procedure

HCPCS code E1084 was billed by 3 providers across 123 claims, totaling $20K in Medicaid payments from 2018–2024. This code was used for 114 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.13

Providers Billing

3

National Spending

$20K

Avg/Median Ratio

4.39×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.