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#3459 of 11K

E1090

HCPCS Procedure Code

HCPCS code E1090 is the #3,459 most-billed Medicaid procedure code, with $1.6M in payments across 3,947 claims from 2018–2024. The national median cost per claim is $21.38. Costs vary widely — the 90th percentile is $603.80 per claim, 28.2× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

3,947

Providers

5

Avg Cost/Claim

$418

National Cost Distribution

How much do providers bill per claim for E1090? Based on 5 providers billing this code nationally.

Median

$21.38

Average

$238.98

Std Dev

$322.58

Max

$703.11

Percentile Distribution (Cost per Claim)

p10
$7.66
p25
$8.53
Median
$21.38
p75
$454.82
p90
$603.80
p95
$653.45
p99
$693.18

50% of providers bill between $8.53 and $454.82 per claim for this code.

90% bill between $7.66 and $603.80.

Top 1% bill above $693.18.

About This Procedure

HCPCS code E1090 was billed by 5 providers across 3,947 claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 3,619 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.38

Providers Billing

5

National Spending

$1.6M

Avg/Median Ratio

11.18×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E1090

#ProviderTotal Paid
11053314021$1.5M
21144371204$108K
31790714624$2K
41851683296$2K
51669417531$935

Showing top 5 of 5 providers billing this code