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#1138 of 11K

E0277

HCPCS Procedure Code

HCPCS code E0277 is the #1,138 most-billed Medicaid procedure code, with $37.9M in payments across 212K claims from 2018–2024. The national median cost per claim is $92.82. Costs vary widely — the 90th percentile is $296.99 per claim, 3.2× the median.

Total Paid

$37.9M

0.00% of all spending

Total Claims

212K

Providers

190

Avg Cost/Claim

$179

National Cost Distribution

How much do providers bill per claim for E0277? Based on 186 providers billing this code nationally.

Median

$92.82

Average

$127.62

Std Dev

$121.02

Max

$878.35

Percentile Distribution (Cost per Claim)

p10
$14.17
p25
$41.03
Median
$92.82
p75
$174.49
p90
$296.99
p95
$342.61
p99
$469.10

50% of providers bill between $41.03 and $174.49 per claim for this code.

90% bill between $14.17 and $296.99.

Top 1% bill above $469.10.

About This Procedure

HCPCS code E0277 was billed by 190 providers across 212K claims, totaling $37.9M in Medicaid payments from 2018–2024. This code was used for 188K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$92.82

Providers Billing

186

National Spending

$37.9M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0277

#ProviderTotal Paid
11386777498$6.8M
21083612022$5.0M
3H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$3.0M
41730770553$2.3M
51760686117$1.7M
61134182207$1.7M
7Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$1.6M
81902075575$1.4M
9Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$1.1M
101447406111$909K
111255632394$879K
121649229691$827K
131164442901$683K
141922046085$644K
151447277264$580K
161174749972$532K
171730182023$499K
18Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$355K
19Integra Partners Llc

Troy, MI · Orthotic Fitter

$350K
201386688414$327K

Showing top 20 of 190 providers billing this code