#2618 of 11K

E2231

HCPCS Procedure Code

HCPCS code E2231 is the #2,618 most-billed Medicaid procedure code, with $4.5M in payments across 46K claims from 2018–2024. The national median cost per claim is $91.19.

Total Paid

$4.5M

0.00% of all spending

Total Claims

46K

Providers

Avg Cost/Claim

$99

National Cost Distribution

How much do providers bill per claim for E2231? Based on 85 providers billing this code nationally.

Median

$91.19

Average

$93.00

Std Dev

$32.64

Max

$171.13

Percentile Distribution (Cost per Claim)

p10

$49.19

p25

$68.71

Median

$91.19

p75

$112.82

p90

$133.95

p95

$144.02

p99

$169.18

50% of providers bill between $68.71 and $112.82 per claim for this code.

90% bill between $49.19 and $133.95.

Top 1% bill above $169.18.

About This Procedure

HCPCS code E2231 was billed by 85 providers across 46K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.19

Providers Billing

National Spending

$4.5M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2231

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639296817	$767K	$83.56	0.9× median	Below Median
2	1043209794	$622K	$100.38	1.1× median	Above Median
3	1346711884	$424K	$171.13	1.9× median	Top 1%
4	1891750691	$343K	$106.31	1.2× median	Above Median
5	1114966181	$232K	$102.56	1.1× median	Above Median
6	1932484979	$156K	$124.52	1.4× median	Above 75th
7	1518037787	$150K	$145.80	1.6× median	Top 10%
8	1003889684	$140K	$111.02	1.2× median	Above Median
9	1982949459	$138K	$122.49	1.3× median	Above 75th
10	1346588225	$130K	$104.23	1.1× median	Above Median
11	1184883472	$119K	$112.82	1.2× median	Above 75th
12	1841263621	$101K	$82.32	0.9× median	Below Median
13	1912494626	$75K	$91.19	1.0× median	Below Median
14	1568695476	$73K	$168.81	1.9× median	Top 10%
15	1235141474	$65K	$88.49	1.0× median	Below Median
16	1003052598	$64K	$103.29	1.1× median	Above Median
17	1679546519	$57K	$86.19	0.9× median	Below Median
18	1568475341	$47K	$82.79	0.9× median	Below Median
19	1912987132	$47K	$123.43	1.4× median	Above 75th
20	1609858752	$45K	$103.11	1.1× median	Above Median

Showing top 20 of 85 providers billing this code

Related Procedures

E2228$1.0M E2224$7K E2226$245 E2222$101

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