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#3080 of 11K

E1805

HCPCS Procedure Code

HCPCS code E1805 is the #3,080 most-billed Medicaid procedure code, with $2.6M in payments across 39K claims from 2018–2024. The national median cost per claim is $73.38.

Total Paid

$2.6M

0.00% of all spending

Total Claims

39K

Providers

4

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for E1805? Based on 4 providers billing this code nationally.

Median

$73.38

Average

$74.02

Std Dev

$23.35

Max

$100.91

Percentile Distribution (Cost per Claim)

p10
$52.51
p25
$58.67
Median
$73.38
p75
$88.73
p90
$96.04
p95
$98.47
p99
$100.42

50% of providers bill between $58.67 and $88.73 per claim for this code.

90% bill between $52.51 and $96.04.

Top 1% bill above $100.42.

About This Procedure

HCPCS code E1805 was billed by 4 providers across 39K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.38

Providers Billing

4

National Spending

$2.6M

Avg/Median Ratio

1.01×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.