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#2017 of 11K

E0295

HCPCS Procedure Code

HCPCS code E0295 is the #2,017 most-billed Medicaid procedure code, with $10.0M in payments across 242K claims from 2018–2024. The national median cost per claim is $41.43. Costs vary widely — the 90th percentile is $123.69 per claim, 3.0× the median.

Total Paid

$10.0M

0.00% of all spending

Total Claims

242K

Providers

125

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for E0295? Based on 120 providers billing this code nationally.

Median

$41.43

Average

$61.08

Std Dev

$65.06

Max

$439.90

Percentile Distribution (Cost per Claim)

p10
$5.09
p25
$17.40
Median
$41.43
p75
$81.80
p90
$123.69
p95
$167.82
p99
$302.83

50% of providers bill between $17.40 and $81.80 per claim for this code.

90% bill between $5.09 and $123.69.

Top 1% bill above $302.83.

About This Procedure

HCPCS code E0295 was billed by 125 providers across 242K claims, totaling $10.0M in Medicaid payments from 2018–2024. This code was used for 233K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.43

Providers Billing

120

National Spending

$10.0M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0295

#ProviderTotal Paid
1H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$1.7M
21083612022$799K
31922046085$550K
4Super Care Inc

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

$511K
51255632394$434K
61174749972$403K
71437154713$392K
81801899414$379K
91336681881$376K
101285783712$284K
111285772343$230K
121184716672$178K
131730157009$174K
141518985340$170K
151063710986$160K
161487239562$138K
171548336423$130K
181942314224$128K
191952310310$124K
201063696284$113K

Showing top 20 of 125 providers billing this code