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#8207 of 11K

E0116

HCPCS Procedure Code

HCPCS code E0116 is the #8,207 most-billed Medicaid procedure code, with $5K in payments across 328 claims from 2018–2024. The national median cost per claim is $11.99.

Total Paid

$5K

0.00% of all spending

Total Claims

328

Providers

4

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for E0116? Based on 4 providers billing this code nationally.

Median

$11.99

Average

$13.20

Std Dev

$4.07

Max

$19.06

Percentile Distribution (Cost per Claim)

p10
$10.27
p25
$11.04
Median
$11.99
p75
$14.15
p90
$17.10
p95
$18.08
p99
$18.86

50% of providers bill between $11.04 and $14.15 per claim for this code.

90% bill between $10.27 and $17.10.

Top 1% bill above $18.86.

About This Procedure

HCPCS code E0116 was billed by 4 providers across 328 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 301 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.99

Providers Billing

4

National Spending

$5K

Avg/Median Ratio

1.10×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.