Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7520 of 11K

E0574

HCPCS Procedure Code

HCPCS code E0574 is the #7,520 most-billed Medicaid procedure code, with $16K in payments across 665 claims from 2018–2024. The national median cost per claim is $139.47. Costs vary widely — the 90th percentile is $327.57 per claim, 2.3× the median.

Total Paid

$16K

0.00% of all spending

Total Claims

665

Providers

3

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for E0574? Based on 3 providers billing this code nationally.

Median

$139.47

Average

$173.11

Std Dev

$186.95

Max

$374.60

Percentile Distribution (Cost per Claim)

p10
$32.10
p25
$72.37
Median
$139.47
p75
$257.03
p90
$327.57
p95
$351.09
p99
$369.90

50% of providers bill between $72.37 and $257.03 per claim for this code.

90% bill between $32.10 and $327.57.

Top 1% bill above $369.90.

About This Procedure

HCPCS code E0574 was billed by 3 providers across 665 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 543 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$139.47

Providers Billing

3

National Spending

$16K

Avg/Median Ratio

1.24×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.