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#5172 of 11K

E0580

HCPCS Procedure Code

HCPCS code E0580 is the #5,172 most-billed Medicaid procedure code, with $270K in payments across 3K claims from 2018–2024. The national median cost per claim is $91.63.

Total Paid

$270K

0.00% of all spending

Total Claims

3K

Providers

2

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for E0580? Based on 2 providers billing this code nationally.

Median

$91.63

Average

$91.63

Std Dev

$18.45

Max

$104.67

Percentile Distribution (Cost per Claim)

p10
$81.19
p25
$85.11
Median
$91.63
p75
$98.15
p90
$102.06
p95
$103.37
p99
$104.41

50% of providers bill between $85.11 and $98.15 per claim for this code.

90% bill between $81.19 and $102.06.

Top 1% bill above $104.41.

About This Procedure

HCPCS code E0580 was billed by 2 providers across 3K claims, totaling $270K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.63

Providers Billing

2

National Spending

$270K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.