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#1535 of 11K

E0443

HCPCS Procedure Code

HCPCS code E0443 is the #1,535 most-billed Medicaid procedure code, with $19.9M in payments across 618K claims from 2018–2024. The national median cost per claim is $12.89. Costs vary widely — the 90th percentile is $53.10 per claim, 4.1× the median.

Total Paid

$19.9M

0.00% of all spending

Total Claims

618K

Providers

587

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for E0443? Based on 575 providers billing this code nationally.

Median

$12.89

Average

$22.48

Std Dev

$36.78

Max

$716.00

Percentile Distribution (Cost per Claim)

p10
$3.01
p25
$5.79
Median
$12.89
p75
$30.55
p90
$53.10
p95
$66.46
p99
$84.59

50% of providers bill between $5.79 and $30.55 per claim for this code.

90% bill between $3.01 and $53.10.

Top 1% bill above $84.59.

About This Procedure

HCPCS code E0443 was billed by 587 providers across 618K claims, totaling $19.9M in Medicaid payments from 2018–2024. This code was used for 529K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.89

Providers Billing

575

National Spending

$19.9M

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0443

#ProviderTotal Paid
1H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$4.6M
2Super Care Inc

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

$2.2M
31508885617$1.2M
41255632394$793K
51033173646$669K
61912923301$440K
71548336423$439K
81891094108$384K
91730290826$381K
101669417051$280K
111902137409$223K
121497831507$218K
131184768293$211K
141093761611$206K
151366747800$197K
161730289737$189K
171275612673$182K
181598068512$169K
191093873598$153K
201215436449$151K

Showing top 20 of 587 providers billing this code