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#597 of 11K

E0445

HCPCS Procedure Code

HCPCS code E0445 is the #597 most-billed Medicaid procedure code, with $134.3M in payments across 980K claims from 2018–2024. The national median cost per claim is $118.11. Costs vary widely — the 90th percentile is $260.05 per claim, 2.2× the median.

Total Paid

$134.3M

0.01% of all spending

Total Claims

980K

Providers

490

Avg Cost/Claim

$137

National Cost Distribution

How much do providers bill per claim for E0445? Based on 465 providers billing this code nationally.

Median

$118.11

Average

$162.54

Std Dev

$206.88

Max

$2,033.89

Percentile Distribution (Cost per Claim)

p10
$35.37
p25
$74.57
Median
$118.11
p75
$179.71
p90
$260.05
p95
$359.68
p99
$1,113.23

50% of providers bill between $74.57 and $179.71 per claim for this code.

90% bill between $35.37 and $260.05.

Top 1% bill above $1,113.23.

About This Procedure

HCPCS code E0445 was billed by 490 providers across 980K claims, totaling $134.3M in Medicaid payments from 2018–2024. This code was used for 856K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.11

Providers Billing

465

National Spending

$134.3M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0445

#ProviderTotal Paid
11992764658$12.1M
21871738153$8.1M
31225447980$5.5M
4Super Care Inc

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

$5.1M
5Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$3.8M
61376620815$2.8M
7Integra Partners Llc

Troy, MI · Orthotic Fitter

$2.5M
81386688414$2.4M
9Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$2.3M
101326140138$2.3M
111083615991$2.2M
121366580391$2.1M
131538128293$2.0M
141033289889$1.7M
151477748119$1.6M
161619909496$1.5M
171902098965$1.5M
181508885617$1.5M
191316364011$1.5M
201013915933$1.4M

Showing top 20 of 490 providers billing this code