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#641 of 11K

E1161

HCPCS Procedure Code

HCPCS code E1161 is the #641 most-billed Medicaid procedure code, with $117.5M in payments across 333K claims from 2018–2024. The national median cost per claim is $200.27. Costs vary widely — the 90th percentile is $727.32 per claim, 3.6× the median.

Total Paid

$117.5M

0.01% of all spending

Total Claims

333K

Providers

302

Avg Cost/Claim

$353

National Cost Distribution

How much do providers bill per claim for E1161? Based on 301 providers billing this code nationally.

Median

$200.27

Average

$334.43

Std Dev

$444.41

Max

$3,066.48

Percentile Distribution (Cost per Claim)

p10
$52.10
p25
$100.54
Median
$200.27
p75
$362.09
p90
$727.32
p95
$1,300.31
p99
$2,522.45

50% of providers bill between $100.54 and $362.09 per claim for this code.

90% bill between $52.10 and $727.32.

Top 1% bill above $2,522.45.

About This Procedure

HCPCS code E1161 was billed by 302 providers across 333K claims, totaling $117.5M in Medicaid payments from 2018–2024. This code was used for 297K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$200.27

Providers Billing

301

National Spending

$117.5M

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E1161

#ProviderTotal Paid
11639296817$10.6M
21043209794$9.5M
31346711884$5.4M
41518037787$5.3M
51891750691$4.5M
61114966181$4.1M
71215933791$2.3M
81003889684$2.3M
91003052598$2.2M
101932484979$2.1M
111982949459$2.1M
121841263621$2.0M
131407497977$1.8M
141538576509$1.6M
151184883472$1.5M
161912494626$1.5M
171568695476$1.5M
181346588225$1.4M
191588732812$1.3M
201679546519$1.2M

Showing top 20 of 302 providers billing this code

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