E0294
HCPCS Procedure Code
HCPCS code E0294 is the #4,063 most-billed Medicaid procedure code, with $878K in payments across 32K claims from 2018–2024. The national median cost per claim is $30.10. Costs vary widely — the 90th percentile is $67.56 per claim, 2.2× the median.
Total Paid
$878K
0.00% of all spending
Total Claims
32K
Providers
27
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for E0294? Based on 26 providers billing this code nationally.
Median
$30.10
Average
$35.84
Std Dev
$28.79
Max
$130.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.09 and $39.59 per claim for this code.
90% bill between $10.14 and $67.56.
Top 1% bill above $123.30.
About This Procedure
HCPCS code E0294 was billed by 27 providers across 32K claims, totaling $878K in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.10
Providers Billing
26
National Spending
$878K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0294
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225476997 | $122K |
| 2 | 1124466891 | $121K |
| 3 | 1053314021 | $114K |
| 4 | 1649618182 | $100K |
| 5 | 1659719193 | $98K |
| 6 | 1669810339 | $62K |
| 7 | 1821152471 | $44K |
| 8 | 1659480424 | $29K |
| 9 | 1558362814 | $26K |
| 10 | 1710985718 | $25K |
| 11 | 1669810107 | $23K |
| 12 | 1710502158 | $20K |
| 13 | 1932118783 | $20K |
| 14 | 1437213089 | $15K |
| 15 | 1831289826 | $14K |
| 16 | 1184653024 | $13K |
| 17 | 1902986904 | $7K |
| 18 | 1326077249 | $7K |
| 19 | 1447679402 | $5K |
| 20 | 1871657437 | $5K |
Showing top 20 of 27 providers billing this code