E0240
HCPCS Procedure Code
HCPCS code E0240 is the #1,086 most-billed Medicaid procedure code, with $42.1M in payments across 379K claims from 2018–2024. The national median cost per claim is $62.75. Costs vary widely — the 90th percentile is $1,230.25 per claim, 19.6× the median.
Total Paid
$42.1M
0.00% of all spending
Total Claims
379K
Providers
388
Avg Cost/Claim
$111
National Cost Distribution
How much do providers bill per claim for E0240? Based on 384 providers billing this code nationally.
Median
$62.75
Average
$280.28
Std Dev
$514.53
Max
$2,579.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.33 and $155.34 per claim for this code.
90% bill between $26.49 and $1,230.25.
Top 1% bill above $2,292.50.
About This Procedure
HCPCS code E0240 was billed by 388 providers across 379K claims, totaling $42.1M in Medicaid payments from 2018–2024. This code was used for 361K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.75
Providers Billing
384
National Spending
$42.1M
Avg/Median Ratio
4.47×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0240
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487624193 | $2.0M |
| 2 | 1902815665 | $1.7M |
| 3 | 1750332797 | $1.7M |
| 4 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $1.6M |
| 5 | 1922006741 | $1.3M |
| 6 | 1477526333 | $1.2M |
| 7 | 1841263621 | $1.1M |
| 8 | 1609858752 | $1.1M |
| 9 | 1053384990 | $1.1M |
| 10 | 1619971025 | $1.0M |
| 11 | 1144515255 | $1.0M |
| 12 | 1477594877 | $991K |
| 13 | 1558428979 | $986K |
| 14 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $962K |
| 15 | 1710984869 | $906K |
| 16 | 1669570172 | $896K |
| 17 | 1235102179 | $884K |
| 18 | Integra Partners Llc Troy, MI · Orthotic Fitter | $788K |
| 19 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $741K |
| 20 | 1679546519 | $629K |
Showing top 20 of 388 providers billing this code