Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8651 of 11K

E0275

HCPCS Procedure Code

HCPCS code E0275 is the #8,651 most-billed Medicaid procedure code, with $2K in payments across 627 claims from 2018–2024. The national median cost per claim is $4.52. Costs vary widely — the 90th percentile is $44.35 per claim, 9.8× the median.

Total Paid

$2K

0.00% of all spending

Total Claims

627

Providers

4

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for E0275? Based on 4 providers billing this code nationally.

Median

$4.52

Average

$17.28

Std Dev

$28.68

Max

$60.00

Percentile Distribution (Cost per Claim)

p10
$0.42
p25
$0.91
Median
$4.52
p75
$20.89
p90
$44.35
p95
$52.18
p99
$58.44

50% of providers bill between $0.91 and $20.89 per claim for this code.

90% bill between $0.42 and $44.35.

Top 1% bill above $58.44.

About This Procedure

HCPCS code E0275 was billed by 4 providers across 627 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 555 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.52

Providers Billing

4

National Spending

$2K

Avg/Median Ratio

3.82×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.