E2612
HCPCS Procedure Code
HCPCS code E2612 is the #5,646 most-billed Medicaid procedure code, with $162K in payments across 2,132 claims from 2018–2024. The national median cost per claim is $101.08. Costs vary widely — the 90th percentile is $278.94 per claim, 2.8× the median.
Total Paid
$162K
0.00% of all spending
Total Claims
2,132
Providers
8
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for E2612? Based on 8 providers billing this code nationally.
Median
$101.08
Average
$139.64
Std Dev
$106.18
Max
$341.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $57.71 and $182.84 per claim for this code.
90% bill between $53.36 and $278.94.
Top 1% bill above $335.25.
About This Procedure
HCPCS code E2612 was billed by 8 providers across 2,132 claims, totaling $162K in Medicaid payments from 2018–2024. This code was used for 1,894 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.08
Providers Billing
8
National Spending
$162K
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E2612
| # | Provider | Total Paid |
|---|---|---|
| 1 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $73K |
| 2 | 1730182023 | $56K |
| 3 | 1518037787 | $10K |
| 4 | 1053314021 | $9K |
| 5 | 1497783088 | $8K |
| 6 | 1245387943 | $3K |
| 7 | 1295862019 | $3K |
| 8 | 1326077249 | $991 |
Showing top 8 of 8 providers billing this code