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#4735 of 11K

E0272

HCPCS Procedure Code

HCPCS code E0272 is the #4,735 most-billed Medicaid procedure code, with $426K in payments across 25K claims from 2018–2024. The national median cost per claim is $15.40. Costs vary widely — the 90th percentile is $80.20 per claim, 5.2× the median.

Total Paid

$426K

0.00% of all spending

Total Claims

25K

Providers

38

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for E0272? Based on 35 providers billing this code nationally.

Median

$15.40

Average

$31.73

Std Dev

$34.57

Max

$157.06

Percentile Distribution (Cost per Claim)

p10
$4.96
p25
$11.28
Median
$15.40
p75
$40.30
p90
$80.20
p95
$98.44
p99
$140.05

50% of providers bill between $11.28 and $40.30 per claim for this code.

90% bill between $4.96 and $80.20.

Top 1% bill above $140.05.

About This Procedure

HCPCS code E0272 was billed by 38 providers across 25K claims, totaling $426K in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.40

Providers Billing

35

National Spending

$426K

Avg/Median Ratio

2.06×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0272

#ProviderTotal Paid
11083612022$93K
21285783712$53K
31801899414$33K
41336681881$32K
51437154713$27K
61487239562$25K
71861576282$19K
81669844650$14K
91063487304$14K
101255632394$14K
111548548688$13K
121215947346$11K
131063426310$9K
141285772343$9K
151639264203$8K
161447277264$7K
171457402497$7K
181629183090$6K
191093716334$5K
201952315608$5K

Showing top 20 of 38 providers billing this code