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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $10.6M |
| 2 | 1043209794 | $9.5M |
| 3 | 1346711884 | $5.4M |
| 4 | 1518037787 | $5.3M |
| 5 | 1891750691 | $4.5M |
| 6 | 1114966181 | $4.1M |
| 7 | 1215933791 | $2.3M |
| 8 | 1003889684 | $2.3M |
| 9 | 1003052598 | $2.2M |
| 10 | 1932484979 | $2.1M |
| 11 | 1982949459 | $2.1M |
| 12 | 1841263621 | $2.0M |
| 13 | 1407497977 | $1.8M |
| 14 | 1538576509 | $1.6M |
| 15 | 1184883472 | $1.5M |
| 16 | 1912494626 | $1.5M |
| 17 | 1568695476 | $1.5M |
| 18 | 1346588225 | $1.4M |
| 19 | 1588732812 | $1.3M |
| 20 | 1679546519 | $1.2M |
Showing top 20 of 302 providers billing this code