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#5650 of 11K

E2202

HCPCS Procedure Code

HCPCS code E2202 is the #5,650 most-billed Medicaid procedure code, with $161K in payments across 5,498 claims from 2018–2024. The national median cost per claim is $19.19. Costs vary widely — the 90th percentile is $86.91 per claim, 4.5× the median.

Total Paid

$161K

0.00% of all spending

Total Claims

5,498

Providers

18

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for E2202? Based on 18 providers billing this code nationally.

Median

$19.19

Average

$43.47

Std Dev

$77.22

Max

$335.57

Percentile Distribution (Cost per Claim)

p10
$7.56
p25
$11.48
Median
$19.19
p75
$28.74
p90
$86.91
p95
$135.25
p99
$295.50

50% of providers bill between $11.48 and $28.74 per claim for this code.

90% bill between $7.56 and $86.91.

Top 1% bill above $295.50.

About This Procedure

HCPCS code E2202 was billed by 18 providers across 5,498 claims, totaling $161K in Medicaid payments from 2018–2024. This code was used for 4,590 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.19

Providers Billing

18

National Spending

$161K

Avg/Median Ratio

2.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E2202

#ProviderTotal Paid
1Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$58K
21730182023$22K
31710923255$18K
41184685653$17K
51477684132$8K
61639296817$8K
71710325253$5K
8Palmetto Oxygen Llc

Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

$5K
91205887833$4K
101831289826$3K
111669844650$3K
121174505549$3K
131063492726$3K
141740268614$1K
151568464295$1K
161740251628$522
171346201506$387
181306512256$337

Showing top 18 of 18 providers billing this code