#2946 of 11K

E0118

HCPCS Procedure Code

HCPCS code E0118 is the #2,946 most-billed Medicaid procedure code, with $3.0M in payments across 66K claims from 2018–2024. The national median cost per claim is $40.16. Costs vary widely — the 90th percentile is $98.29 per claim, 2.4× the median.

Total Paid

$3.0M

0.00% of all spending

Total Claims

66K

Providers

103

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for E0118? Based on 102 providers billing this code nationally.

Median

$40.16

Average

$50.18

Std Dev

$43.77

Max

$222.81

Percentile Distribution (Cost per Claim)

p10

$14.93

p25

$24.85

Median

$40.16

p75

$57.66

p90

$98.29

p95

$160.76

p99

$216.81

50% of providers bill between $24.85 and $57.66 per claim for this code.

90% bill between $14.93 and $98.29.

Top 1% bill above $216.81.

About This Procedure

HCPCS code E0118 was billed by 103 providers across 66K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.16

Providers Billing

102

National Spending

$3.0M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0118

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$301K	$70.93	1.8× median	Above 75th
2	1184716672	$256K	$177.68	4.4× median	Top 10%
3	1134426448	$253K	$47.35	1.2× median	Above Median
4	1689665911	$239K	$43.42	1.1× median	Above Median
5	1154479913	$197K	$85.71	2.1× median	Above 75th
6	1568483410	$163K	$73.38	1.8× median	Above 75th
7	1972500940	$159K	$57.97	1.4× median	Above 75th
8	1497703516	$122K	$40.77	1.0× median	Above Median
9	1215039466	$91K	$43.51	1.1× median	Above Median
10	1376883660	$82K	$222.81	5.5× median	Top 1%
11	1720387624	$61K	$42.30	1.1× median	Above Median
12	1528455003	$60K	$98.39	2.4× median	Top 10%
13	1336123538	$59K	$37.67	0.9× median	Below Median
14	1295823508	$58K	$33.28	0.8× median	Below Median
15	1922006741	$58K	$45.18	1.1× median	Above Median
16	1932799236	$47K	$46.41	1.2× median	Above Median
17	1821158692	$44K	$16.59	0.4× median	Below Median
18	1487741765	$40K	$42.37	1.1× median	Above Median
19	1942479282	$31K	$35.96	0.9× median	Below Median
20	1164486445	$31K	$43.89	1.1× median	Above Median

Showing top 20 of 103 providers billing this code

Related Procedures

E0114$44.7M E0110$109K E0116$5K E0112$2K E0113$119

← All procedures Top providers →