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

#6383 of 11K

E1405

HCPCS Procedure Code

HCPCS code E1405 is the #6,383 most-billed Medicaid procedure code, with $70K in payments across 2K claims from 2018–2024. The national median cost per claim is $30.33.

Total Paid

$70K

0.00% of all spending

Total Claims

2K

Providers

2

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for E1405? Based on 2 providers billing this code nationally.

Median

$30.33

Average

$30.33

Std Dev

$2.43

Max

$32.05

Percentile Distribution (Cost per Claim)

p10
$28.96
p25
$29.47
Median
$30.33
p75
$31.19
p90
$31.71
p95
$31.88
p99
$32.02

50% of providers bill between $29.47 and $31.19 per claim for this code.

90% bill between $28.96 and $31.71.

Top 1% bill above $32.02.

About This Procedure

HCPCS code E1405 was billed by 2 providers across 2K claims, totaling $70K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.33

Providers Billing

2

National Spending

$70K

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.