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#2315 of 11K

E2201

HCPCS Procedure Code

HCPCS code E2201 is the #2,315 most-billed Medicaid procedure code, with $6.8M in payments across 140K claims from 2018–2024. The national median cost per claim is $19.07. Costs vary widely — the 90th percentile is $208.66 per claim, 10.9× the median.

Total Paid

$6.8M

0.00% of all spending

Total Claims

140K

Providers

188

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for E2201? Based on 185 providers billing this code nationally.

Median

$19.07

Average

$63.69

Std Dev

$89.25

Max

$418.64

Percentile Distribution (Cost per Claim)

p10
$6.43
p25
$11.73
Median
$19.07
p75
$76.62
p90
$208.66
p95
$265.90
p99
$365.10

50% of providers bill between $11.73 and $76.62 per claim for this code.

90% bill between $6.43 and $208.66.

Top 1% bill above $365.10.

About This Procedure

HCPCS code E2201 was billed by 188 providers across 140K claims, totaling $6.8M in Medicaid payments from 2018–2024. This code was used for 116K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.07

Providers Billing

185

National Spending

$6.8M

Avg/Median Ratio

3.34×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E2201

#ProviderTotal Paid
11639296817$868K
2Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$480K
31518037787$459K
41346711884$458K
51891750691$458K
61043209794$407K
71114966181$331K
81730182023$174K
91326077249$162K
101053314021$156K
111982949459$141K
121669844650$126K
131710923255$102K
141093716334$98K
151407497977$97K
161831289826$83K
171710325253$78K
181134303902$75K
191780663823$71K
201144371204$71K

Showing top 20 of 188 providers billing this code