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#5537 of 11K

E2209

HCPCS Procedure Code

HCPCS code E2209 is the #5,537 most-billed Medicaid procedure code, with $180K in payments across 3,165 claims from 2018–2024. The national median cost per claim is $66.02.

Total Paid

$180K

0.00% of all spending

Total Claims

3,165

Providers

11

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for E2209? Based on 11 providers billing this code nationally.

Median

$66.02

Average

$63.08

Std Dev

$49.04

Max

$153.20

Percentile Distribution (Cost per Claim)

p10
$9.94
p25
$16.91
Median
$66.02
p75
$101.63
p90
$108.25
p95
$130.73
p99
$148.71

50% of providers bill between $16.91 and $101.63 per claim for this code.

90% bill between $9.94 and $108.25.

Top 1% bill above $148.71.

About This Procedure

HCPCS code E2209 was billed by 11 providers across 3,165 claims, totaling $180K in Medicaid payments from 2018–2024. This code was used for 3,055 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.02

Providers Billing

11

National Spending

$180K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2209

#ProviderTotal Paid
11518037787$134K
2H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$19K
31346711884$8K
41346588225$4K
51639296817$4K
61487624193$3K
71891750691$3K
8Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$3K
91003834946$2K
101730182023$676
111760787188$631

Showing top 11 of 11 providers billing this code