#2733 of 11K

E2613

HCPCS Procedure Code

HCPCS code E2613 is the #2,733 most-billed Medicaid procedure code, with $3.9M in payments across 18K claims from 2018–2024. The national median cost per claim is $250.22.

Total Paid

$3.9M

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$218

National Cost Distribution

How much do providers bill per claim for E2613? Based on 66 providers billing this code nationally.

Median

$250.22

Average

$244.96

Std Dev

$75.25

Max

$379.83

Percentile Distribution (Cost per Claim)

p10

$161.95

p25

$200.11

Median

$250.22

p75

$309.93

p90

$332.37

p95

$348.04

p99

$375.26

50% of providers bill between $200.11 and $309.93 per claim for this code.

90% bill between $161.95 and $332.37.

Top 1% bill above $375.26.

About This Procedure

HCPCS code E2613 was billed by 66 providers across 18K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$250.22

Providers Billing

National Spending

$3.9M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2613

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1346711884	$608K	$379.83	1.5× median	Top 1%
2	1518037787	$386K	$335.70	1.3× median	Top 10%
3	1487624193	$293K	$322.25	1.3× median	Above 75th
4	1184883472	$288K	$268.28	1.1× median	Above Median
5	1932484979	$221K	$315.10	1.3× median	Above 75th
6	1144458209	$213K	$256.77	1.0× median	Above Median
7	1477526333	$197K	$350.83	1.4× median	Top 10%
8	1144515255	$173K	$372.80	1.5× median	Top 10%
9	1609858752	$125K	$237.28	0.9× median	Below Median
10	1538576509	$122K	$222.66	0.9× median	Below Median
11	1326011263	$117K	$189.95	0.8× median	Below Median
12	1912987132	$113K	$289.11	1.2× median	Above Median
13	1871710715	$111K	$176.78	0.7× median	Below Median
14	1427339530	$73K	$17.02	0.1× median	Below Median
15	1619971025	$64K	$317.52	1.3× median	Above 75th
16	1518231547	$58K	$222.30	0.9× median	Below Median
17	1841263621	$57K	$200.03	0.8× median	Below Median
18	1578531356	$50K	$268.82	1.1× median	Above Median
19	1568475341	$49K	$205.46	0.8× median	Below Median
20	1558428979	$48K	$339.68	1.4× median	Top 10%

Showing top 20 of 66 providers billing this code

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