Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8237 of 11K

E1391

HCPCS Procedure Code

HCPCS code E1391 is the #8,237 most-billed Medicaid procedure code, with $5K in payments across 38 claims from 2018–2024. The national median cost per claim is $103.30.

Total Paid

$5K

0.00% of all spending

Total Claims

38

Providers

2

Avg Cost/Claim

$122

National Cost Distribution

How much do providers bill per claim for E1391? Based on 2 providers billing this code nationally.

Median

$103.30

Average

$103.30

Std Dev

$85.84

Max

$164.00

Percentile Distribution (Cost per Claim)

p10
$54.74
p25
$72.95
Median
$103.30
p75
$133.65
p90
$151.86
p95
$157.93
p99
$162.79

50% of providers bill between $72.95 and $133.65 per claim for this code.

90% bill between $54.74 and $151.86.

Top 1% bill above $162.79.

About This Procedure

HCPCS code E1391 was billed by 2 providers across 38 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 38 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$103.30

Providers Billing

2

National Spending

$5K

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.