E1815
HCPCS Procedure Code
HCPCS code E1815 is the #2,902 most-billed Medicaid procedure code, with $3.1M in payments across 35K claims from 2018–2024. The national median cost per claim is $109.08. Costs vary widely — the 90th percentile is $282.61 per claim, 2.6× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
35K
Providers
4
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for E1815? Based on 4 providers billing this code nationally.
Median
$109.08
Average
$159.39
Std Dev
$127.65
Max
$346.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.28 and $186.19 per claim for this code.
90% bill between $76.40 and $282.61.
Top 1% bill above $340.47.
About This Procedure
HCPCS code E1815 was billed by 4 providers across 35K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$109.08
Providers Billing
4
National Spending
$3.1M
Avg/Median Ratio
1.46×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.