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#3799 of 11K

E0221

HCPCS Procedure Code

HCPCS code E0221 is the #3,799 most-billed Medicaid procedure code, with $1.2M in payments across 2K claims from 2018–2024. The national median cost per claim is $99.97. Costs vary widely — the 90th percentile is $2,246.44 per claim, 22.5× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

2K

Providers

9

Avg Cost/Claim

$474

National Cost Distribution

How much do providers bill per claim for E0221? Based on 9 providers billing this code nationally.

Median

$99.97

Average

$994.71

Std Dev

$1,116.30

Max

$2,460.12

Percentile Distribution (Cost per Claim)

p10
$39.91
p25
$73.50
Median
$99.97
p75
$2,063.07
p90
$2,246.44
p95
$2,353.28
p99
$2,438.75

50% of providers bill between $73.50 and $2,063.07 per claim for this code.

90% bill between $39.91 and $2,246.44.

Top 1% bill above $2,438.75.

About This Procedure

HCPCS code E0221 was billed by 9 providers across 2K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.97

Providers Billing

9

National Spending

$1.2M

Avg/Median Ratio

9.95×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0221

#ProviderTotal Paid
11265768147$431K
21134665490$234K
31376000950$219K
41649464249$121K
51407307614$64K
61508317751$43K
71831648815$26K
81487186847$15K
91871503235$40

Showing top 9 of 9 providers billing this code