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#3795 of 11K

E0218

HCPCS Procedure Code

HCPCS code E0218 is the #3,795 most-billed Medicaid procedure code, with $1.2M in payments across 13K claims from 2018–2024. The national median cost per claim is $137.87. Costs vary widely — the 90th percentile is $294.20 per claim, 2.1× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

13K

Providers

16

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for E0218? Based on 15 providers billing this code nationally.

Median

$137.87

Average

$132.55

Std Dev

$125.53

Max

$343.28

Percentile Distribution (Cost per Claim)

p10
$3.91
p25
$5.83
Median
$137.87
p75
$242.26
p90
$294.20
p95
$320.38
p99
$338.70

50% of providers bill between $5.83 and $242.26 per claim for this code.

90% bill between $3.91 and $294.20.

Top 1% bill above $338.70.

About This Procedure

HCPCS code E0218 was billed by 16 providers across 13K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.87

Providers Billing

15

National Spending

$1.2M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0218

#ProviderTotal Paid
11144358839$407K
21891787594$269K
31770528416$264K
41023014743$63K
51134426448$52K
61154338184$45K
71942238514$28K
8Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$12K
91770511552$9K
101467954016$7K
111952537011$3K
121871736884$1K
131194875468$259
141114987344$175
151336128149$80
161255770129$0

Showing top 16 of 16 providers billing this code