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#2031 of 11K

E0434

HCPCS Procedure Code

HCPCS code E0434 is the #2,031 most-billed Medicaid procedure code, with $9.8M in payments across 397K claims from 2018–2024. The national median cost per claim is $17.56.

Total Paid

$9.8M

0.00% of all spending

Total Claims

397K

Providers

121

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for E0434? Based on 119 providers billing this code nationally.

Median

$17.56

Average

$20.75

Std Dev

$19.77

Max

$177.92

Percentile Distribution (Cost per Claim)

p10
$6.38
p25
$10.66
Median
$17.56
p75
$27.03
p90
$33.31
p95
$39.65
p99
$92.68

50% of providers bill between $10.66 and $27.03 per claim for this code.

90% bill between $6.38 and $33.31.

Top 1% bill above $92.68.

About This Procedure

HCPCS code E0434 was billed by 121 providers across 397K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 334K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.56

Providers Billing

119

National Spending

$9.8M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0434

#ProviderTotal Paid
11326025669$2.3M
21720128903$2.2M
31730127283$1.3M
41992846836$397K
51528009933$358K
61669417051$352K
71598841298$299K
81447264874$165K
9Home Medical Equipment Specialists Llc

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

$163K
101689665911$154K
111497860282$124K
121225077670$114K
131114035474$107K
141437742566$105K
151376698696$96K
161821158692$95K
171659487379$76K
181710083027$66K
191467491449$62K
201598361891$53K

Showing top 20 of 121 providers billing this code