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

#3923 of 11K

E2228

HCPCS Procedure Code

HCPCS code E2228 is the #3,923 most-billed Medicaid procedure code, with $1.0M in payments across 124K claims from 2018–2024. The national median cost per claim is $7.38. Costs vary widely — the 90th percentile is $27.92 per claim, 3.8× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

124K

Providers

8

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for E2228? Based on 6 providers billing this code nationally.

Median

$7.38

Average

$12.84

Std Dev

$17.28

Max

$47.66

Percentile Distribution (Cost per Claim)

p10
$3.22
p25
$6.13
Median
$7.38
p75
$8.10
p90
$27.92
p95
$37.79
p99
$45.68

50% of providers bill between $6.13 and $8.10 per claim for this code.

90% bill between $3.22 and $27.92.

Top 1% bill above $45.68.

About This Procedure

HCPCS code E2228 was billed by 8 providers across 124K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.38

Providers Billing

6

National Spending

$1.0M

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E2228

#ProviderTotal Paid
11427339530$990K
21154747038$9K
31013674746$5K
41659008159$4K
51184650756$2K
61952079535$100
71912315136$0
81639718422$0

Showing top 8 of 8 providers billing this code