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

#5269 of 11K

E0315

HCPCS Procedure Code

HCPCS code E0315 is the #5,269 most-billed Medicaid procedure code, with $245K in payments across 4K claims from 2018–2024. The national median cost per claim is $61.74.

Total Paid

$245K

0.00% of all spending

Total Claims

4K

Providers

13

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for E0315? Based on 13 providers billing this code nationally.

Median

$61.74

Average

$69.16

Std Dev

$48.85

Max

$204.68

Percentile Distribution (Cost per Claim)

p10
$30.48
p25
$36.69
Median
$61.74
p75
$84.38
p90
$96.23
p95
$140.52
p99
$191.85

50% of providers bill between $36.69 and $84.38 per claim for this code.

90% bill between $30.48 and $96.23.

Top 1% bill above $191.85.

About This Procedure

HCPCS code E0315 was billed by 13 providers across 4K claims, totaling $245K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.74

Providers Billing

13

National Spending

$245K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0315

#ProviderTotal Paid
11538669163$49K
21871575563$43K
31629072665$37K
41144358839$36K
51093716334$32K
6Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$18K
71477526333$12K
81447277264$10K
91013911056$3K
101215997853$3K
111821182585$885
12Integra Partners Llc

Troy, MI · Orthotic Fitter

$362
13Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$94

Showing top 13 of 13 providers billing this code