E1260
HCPCS Procedure Code
HCPCS code E1260 is the #4,203 most-billed Medicaid procedure code, with $755K in payments across 4,585 claims from 2018–2024. The national median cost per claim is $114.27. Costs vary widely — the 90th percentile is $644.21 per claim, 5.6× the median.
Total Paid
$755K
0.00% of all spending
Total Claims
4,585
Providers
9
Avg Cost/Claim
$165
National Cost Distribution
How much do providers bill per claim for E1260? Based on 8 providers billing this code nationally.
Median
$114.27
Average
$222.67
Std Dev
$273.26
Max
$671.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.22 and $309.22 per claim for this code.
90% bill between $5.17 and $644.21.
Top 1% bill above $668.74.
About This Procedure
HCPCS code E1260 was billed by 9 providers across 4,585 claims, totaling $755K in Medicaid payments from 2018–2024. This code was used for 4,130 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$114.27
Providers Billing
8
National Spending
$755K
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E1260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144371204 | $337K |
| 2 | 1053314021 | $275K |
| 3 | 1669570172 | $105K |
| 4 | 1114993490 | $14K |
| 5 | 1710985718 | $12K |
| 6 | 1376612895 | $10K |
| 7 | 1922088129 | $2K |
| 8 | 1407836133 | $2K |
| 9 | 1912199415 | $0 |
Showing top 9 of 9 providers billing this code