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#6974 of 11K

E1092

HCPCS Procedure Code

HCPCS code E1092 is the #6,974 most-billed Medicaid procedure code, with $34K in payments across 394 claims from 2018–2024. The national median cost per claim is $90.65.

Total Paid

$34K

0.00% of all spending

Total Claims

394

Providers

3

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for E1092? Based on 3 providers billing this code nationally.

Median

$90.65

Average

$113.04

Std Dev

$65.55

Max

$186.85

Percentile Distribution (Cost per Claim)

p10
$67.43
p25
$76.14
Median
$90.65
p75
$138.75
p90
$167.61
p95
$177.23
p99
$184.93

50% of providers bill between $76.14 and $138.75 per claim for this code.

90% bill between $67.43 and $167.61.

Top 1% bill above $184.93.

About This Procedure

HCPCS code E1092 was billed by 3 providers across 394 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 355 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.65

Providers Billing

3

National Spending

$34K

Avg/Median Ratio

1.25×

Normal distribution

Provider Coverage

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