E1290
HCPCS Procedure Code
HCPCS code E1290 is the #4,978 most-billed Medicaid procedure code, with $332K in payments across 2,131 claims from 2018–2024. The national median cost per claim is $33.64. Costs vary widely — the 90th percentile is $252.30 per claim, 7.5× the median.
Total Paid
$332K
0.00% of all spending
Total Claims
2,131
Providers
4
Avg Cost/Claim
$156
National Cost Distribution
How much do providers bill per claim for E1290? Based on 4 providers billing this code nationally.
Median
$33.64
Average
$105.24
Std Dev
$160.67
Max
$345.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.47 and $112.41 per claim for this code.
90% bill between $15.45 and $252.30.
Top 1% bill above $336.23.
About This Procedure
HCPCS code E1290 was billed by 4 providers across 2,131 claims, totaling $332K in Medicaid payments from 2018–2024. This code was used for 1,848 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.64
Providers Billing
4
National Spending
$332K
Avg/Median Ratio
3.13×
Highly skewed — outlier-driven
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.