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#8735 of 11K

E1295

HCPCS Procedure Code

HCPCS code E1295 is the #8,735 most-billed Medicaid procedure code, with $1K in payments across 38 claims from 2018–2024. The national median cost per claim is $47.00.

Total Paid

$1K

0.00% of all spending

Total Claims

38

Providers

2

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for E1295? Based on 2 providers billing this code nationally.

Median

$47.00

Average

$47.00

Std Dev

$41.14

Max

$76.09

Percentile Distribution (Cost per Claim)

p10
$23.73
p25
$32.46
Median
$47.00
p75
$61.55
p90
$70.28
p95
$73.19
p99
$75.51

50% of providers bill between $32.46 and $61.55 per claim for this code.

90% bill between $23.73 and $70.28.

Top 1% bill above $75.51.

About This Procedure

HCPCS code E1295 was billed by 2 providers across 38 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 37 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.00

Providers Billing

2

National Spending

$1K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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