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#4164 of 11K

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)

p10
$5.44
p25
$7.37
Median
$44.60
p75
$105.87
p90
$137.69
p95
$176.47
p99
$217.61

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

#ProviderTotal Paid
11417948258$271K
21033289889$225K
31053314021$156K
41356329585$57K
51235582560$29K
61437108214$22K
71710985718$18K
81669475596$6K
91790714624$3K
101316198633$3K
111952054355$2K
121609948736$516
131689623514$487
141750736310$408

Showing top 14 of 14 providers billing this code