E1240
HCPCS Procedure Code
HCPCS code E1240 is the #4,164 most-billed Medicaid procedure code, with $794K in payments across 9K claims from 2018–2024. The national median cost per claim is $44.60. Costs vary widely — the 90th percentile is $137.69 per claim, 3.1× the median.
Total Paid
$794K
0.00% of all spending
Total Claims
9K
Providers
14
Avg Cost/Claim
$92
National Cost Distribution
How much do providers bill per claim for E1240? Based on 14 providers billing this code nationally.
Median
$44.60
Average
$64.39
Std Dev
$67.75
Max
$227.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.37 and $105.87 per claim for this code.
90% bill between $5.44 and $137.69.
Top 1% bill above $217.61.
About This Procedure
HCPCS code E1240 was billed by 14 providers across 9K claims, totaling $794K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.60
Providers Billing
14
National Spending
$794K
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E1240
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417948258 | $271K |
| 2 | 1033289889 | $225K |
| 3 | 1053314021 | $156K |
| 4 | 1356329585 | $57K |
| 5 | 1235582560 | $29K |
| 6 | 1437108214 | $22K |
| 7 | 1710985718 | $18K |
| 8 | 1669475596 | $6K |
| 9 | 1790714624 | $3K |
| 10 | 1316198633 | $3K |
| 11 | 1952054355 | $2K |
| 12 | 1609948736 | $516 |
| 13 | 1689623514 | $487 |
| 14 | 1750736310 | $408 |
Showing top 14 of 14 providers billing this code