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

#1755 of 11K

E1220

HCPCS Procedure Code

HCPCS code E1220 is the #1,755 most-billed Medicaid procedure code, with $14.6M in payments across 4K claims from 2018–2024. The national median cost per claim is $5,744.08.

Total Paid

$14.6M

0.00% of all spending

Total Claims

4K

Providers

9

Avg Cost/Claim

$4K

National Cost Distribution

How much do providers bill per claim for E1220? Based on 9 providers billing this code nationally.

Median

$5,744.08

Average

$4,657.48

Std Dev

$2,312.20

Max

$7,575.65

Percentile Distribution (Cost per Claim)

p10
$2,065.36
p25
$2,600.03
Median
$5,744.08
p75
$6,446.45
p90
$6,994.58
p95
$7,285.11
p99
$7,517.54

50% of providers bill between $2,600.03 and $6,446.45 per claim for this code.

90% bill between $2,065.36 and $6,994.58.

Top 1% bill above $7,517.54.

About This Procedure

HCPCS code E1220 was billed by 9 providers across 4K claims, totaling $14.6M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5,744.08

Providers Billing

9

National Spending

$14.6M

Avg/Median Ratio

0.81×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1220

#ProviderTotal Paid
11033103023$4.7M
21295153674$3.7M
31245569987$1.4M
41780618785$1.1M
51437472040$998K
61114930138$891K
71336230036$890K
81366577546$616K
91437161692$393K

Showing top 9 of 9 providers billing this code