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

#3740 of 11K

E2204

HCPCS Procedure Code

HCPCS code E2204 is the #3,740 most-billed Medicaid procedure code, with $1.2M in payments across 2,677 claims from 2018–2024. The national median cost per claim is $503.12.

Total Paid

$1.2M

0.00% of all spending

Total Claims

2,677

Providers

2

Avg Cost/Claim

$466

National Cost Distribution

How much do providers bill per claim for E2204? Based on 2 providers billing this code nationally.

Median

$503.12

Average

$503.12

Std Dev

$58.69

Max

$544.62

Percentile Distribution (Cost per Claim)

p10
$469.92
p25
$482.37
Median
$503.12
p75
$523.87
p90
$536.32
p95
$540.47
p99
$543.79

50% of providers bill between $482.37 and $523.87 per claim for this code.

90% bill between $469.92 and $536.32.

Top 1% bill above $543.79.

About This Procedure

HCPCS code E2204 was billed by 2 providers across 2,677 claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 1,827 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$503.12

Providers Billing

2

National Spending

$1.2M

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.