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

#5037 of 11K

E1010

HCPCS Procedure Code

HCPCS code E1010 is the #5,037 most-billed Medicaid procedure code, with $312K in payments across 744 claims from 2018–2024. The national median cost per claim is $401.35. Costs vary widely — the 90th percentile is $897.47 per claim, 2.2× the median.

Total Paid

$312K

0.00% of all spending

Total Claims

744

Providers

5

Avg Cost/Claim

$419

National Cost Distribution

How much do providers bill per claim for E1010? Based on 4 providers billing this code nationally.

Median

$401.35

Average

$513.95

Std Dev

$385.50

Max

$1,036.50

Percentile Distribution (Cost per Claim)

p10
$220.49
p25
$226.35
Median
$401.35
p75
$688.94
p90
$897.47
p95
$966.99
p99
$1,022.60

50% of providers bill between $226.35 and $688.94 per claim for this code.

90% bill between $220.49 and $897.47.

Top 1% bill above $1,022.60.

About This Procedure

HCPCS code E1010 was billed by 5 providers across 744 claims, totaling $312K in Medicaid payments from 2018–2024. This code was used for 435 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$401.35

Providers Billing

4

National Spending

$312K

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1010

#ProviderTotal Paid
11639296817$107K
21164609699$103K
31902023013$100K
41255668786$3K
51619003811$0

Showing top 5 of 5 providers billing this code