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#3883 of 11K

E0305

HCPCS Procedure Code

HCPCS code E0305 is the #3,883 most-billed Medicaid procedure code, with $1.1M in payments across 138K claims from 2018–2024. The national median cost per claim is $8.35. Costs vary widely — the 90th percentile is $22.69 per claim, 2.7× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

138K

Providers

112

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for E0305? Based on 105 providers billing this code nationally.

Median

$8.35

Average

$11.02

Std Dev

$13.57

Max

$85.74

Percentile Distribution (Cost per Claim)

p10
$0.61
p25
$2.24
Median
$8.35
p75
$13.84
p90
$22.69
p95
$35.09
p99
$64.17

50% of providers bill between $2.24 and $13.84 per claim for this code.

90% bill between $0.61 and $22.69.

Top 1% bill above $64.17.

About This Procedure

HCPCS code E0305 was billed by 112 providers across 138K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.35

Providers Billing

105

National Spending

$1.1M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0305

#ProviderTotal Paid
11437154713$105K
21174749972$103K
31922046085$97K
41083612022$80K
51336681881$73K
6Super Care Inc

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

$60K
71053314021$50K
8H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$35K
91285772343$33K
101255632394$33K
111801899414$31K
121063710986$25K
131548336423$24K
141760787188$19K
151730157009$17K
161063487304$15K
171932566858$15K
181871575563$13K
191144358839$13K
201952310310$12K

Showing top 20 of 112 providers billing this code