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

#5127 of 11K

E2395

HCPCS Procedure Code

HCPCS code E2395 is the #5,127 most-billed Medicaid procedure code, with $283K in payments across 7K claims from 2018–2024. The national median cost per claim is $53.49. Costs vary widely — the 90th percentile is $123.98 per claim, 2.3× the median.

Total Paid

$283K

0.00% of all spending

Total Claims

7K

Providers

34

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for E2395? Based on 34 providers billing this code nationally.

Median

$53.49

Average

$67.18

Std Dev

$56.10

Max

$268.55

Percentile Distribution (Cost per Claim)

p10
$18.83
p25
$29.99
Median
$53.49
p75
$79.82
p90
$123.98
p95
$184.12
p99
$244.14

50% of providers bill between $29.99 and $79.82 per claim for this code.

90% bill between $18.83 and $123.98.

Top 1% bill above $244.14.

About This Procedure

HCPCS code E2395 was billed by 34 providers across 7K claims, totaling $283K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.49

Providers Billing

34

National Spending

$283K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2395

#ProviderTotal Paid
11932381779$46K
21205837879$39K
31841263621$36K
41043209794$29K
51992095988$28K
61669747390$23K
71760460182$16K
81023096104$9K
91336681881$9K
101003052598$8K
111457654253$8K
121538137195$4K
131760424535$3K
141518042563$2K
151912902552$2K
161962470112$2K
171881779825$2K
181902934250$2K
191487990636$1K
201851465819$1K

Showing top 20 of 34 providers billing this code