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#7980 of 11K

E1355

HCPCS Procedure Code

HCPCS code E1355 is the #7,980 most-billed Medicaid procedure code, with $8K in payments across 3,460 claims from 2018–2024. The national median cost per claim is $1.33. Costs vary widely — the 90th percentile is $12.99 per claim, 9.8× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

3,460

Providers

8

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for E1355? Based on 8 providers billing this code nationally.

Median

$1.33

Average

$4.25

Std Dev

$6.17

Max

$16.40

Percentile Distribution (Cost per Claim)

p10
$0.42
p25
$0.59
Median
$1.33
p75
$4.46
p90
$12.99
p95
$14.69
p99
$16.06

50% of providers bill between $0.59 and $4.46 per claim for this code.

90% bill between $0.42 and $12.99.

Top 1% bill above $16.06.

About This Procedure

HCPCS code E1355 was billed by 8 providers across 3,460 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 3,054 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.33

Providers Billing

8

National Spending

$8K

Avg/Median Ratio

3.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E1355

#ProviderTotal Paid
11184777286$4K
2Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$2K
31447210299$1K
4Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$125
51306961792$86
61154331809$65
71033201249$25
81710325253$20

Showing top 8 of 8 providers billing this code