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#6041 of 11K

E0480

HCPCS Procedure Code

HCPCS code E0480 is the #6,041 most-billed Medicaid procedure code, with $102K in payments across 2K claims from 2018–2024. The national median cost per claim is $36.30. Costs vary widely — the 90th percentile is $202.50 per claim, 5.6× the median.

Total Paid

$102K

0.00% of all spending

Total Claims

2K

Providers

5

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for E0480? Based on 5 providers billing this code nationally.

Median

$36.30

Average

$84.28

Std Dev

$128.30

Max

$312.10

Percentile Distribution (Cost per Claim)

p10
$14.06
p25
$34.41
Median
$36.30
p75
$38.11
p90
$202.50
p95
$257.30
p99
$301.14

50% of providers bill between $34.41 and $38.11 per claim for this code.

90% bill between $14.06 and $202.50.

Top 1% bill above $301.14.

About This Procedure

HCPCS code E0480 was billed by 5 providers across 2K claims, totaling $102K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.30

Providers Billing

5

National Spending

$102K

Avg/Median Ratio

2.32×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0480

#ProviderTotal Paid
11508297854$88K
21326140138$12K
31770581498$908
41801866173$860
51477561983$566

Showing top 5 of 5 providers billing this code