E0555
HCPCS Procedure Code
HCPCS code E0555 is the #4,043 most-billed Medicaid procedure code, with $905K in payments across 27K claims from 2018–2024. The national median cost per claim is $3.44. Costs vary widely — the 90th percentile is $54.09 per claim, 15.7× the median.
Total Paid
$905K
0.00% of all spending
Total Claims
27K
Providers
8
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for E0555? Based on 7 providers billing this code nationally.
Median
$3.44
Average
$21.49
Std Dev
$25.79
Max
$58.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.32 and $42.66 per claim for this code.
90% bill between $0.79 and $54.09.
Top 1% bill above $58.06.
About This Procedure
HCPCS code E0555 was billed by 8 providers across 27K claims, totaling $905K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.44
Providers Billing
7
National Spending
$905K
Avg/Median Ratio
6.25×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0555
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548331895 | $798K |
| 2 | 1619988284 | $72K |
| 3 | 1235288648 | $18K |
| 4 | 1902137409 | $12K |
| 5 | 1760513923 | $5K |
| 6 | 1013915933 | $154 |
| 7 | 1336166347 | $19 |
| 8 | 1831371848 | $0 |
Showing top 8 of 8 providers billing this code