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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184777286 | $4K |
| 2 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $2K |
| 3 | 1447210299 | $1K |
| 4 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $125 |
| 5 | 1306961792 | $86 |
| 6 | 1154331809 | $65 |
| 7 | 1033201249 | $25 |
| 8 | 1710325253 | $20 |
Showing top 8 of 8 providers billing this code