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#5994 of 11K

E0210

HCPCS Procedure Code

HCPCS code E0210 is the #5,994 most-billed Medicaid procedure code, with $108K in payments across 7K claims from 2018–2024. The national median cost per claim is $14.40. Costs vary widely — the 90th percentile is $40.44 per claim, 2.8× the median.

Total Paid

$108K

0.00% of all spending

Total Claims

7K

Providers

25

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for E0210? Based on 25 providers billing this code nationally.

Median

$14.40

Average

$18.31

Std Dev

$15.10

Max

$56.78

Percentile Distribution (Cost per Claim)

p10
$1.49
p25
$7.82
Median
$14.40
p75
$25.13
p90
$40.44
p95
$49.00
p99
$55.30

50% of providers bill between $7.82 and $25.13 per claim for this code.

90% bill between $1.49 and $40.44.

Top 1% bill above $55.30.

About This Procedure

HCPCS code E0210 was billed by 25 providers across 7K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.40

Providers Billing

25

National Spending

$108K

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0210

#ProviderTotal Paid
11497753214$52K
21659365849$14K
31154645356$8K
41629248109$7K
51932566858$5K
61184716672$4K
7Integra Partners Llc

Troy, MI · Orthotic Fitter

$3K
8Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$3K
91144207911$2K
101568771095$2K
111972671683$2K
121518964469$2K
131861576282$1K
141629072665$729
151669406609$681
161548336423$607
171417914128$572
181437385069$470
191376640292$403
201205976438$395

Showing top 20 of 25 providers billing this code