E1035
HCPCS Procedure Code
HCPCS code E1035 is the #4,141 most-billed Medicaid procedure code, with $807K in payments across 12K claims from 2018–2024. The national median cost per claim is $25.19. Costs vary widely — the 90th percentile is $79.40 per claim, 3.2× the median.
Total Paid
$807K
0.00% of all spending
Total Claims
12K
Providers
13
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for E1035? Based on 12 providers billing this code nationally.
Median
$25.19
Average
$395.17
Std Dev
$1,247.85
Max
$4,356.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.39 and $71.89 per claim for this code.
90% bill between $6.21 and $79.40.
Top 1% bill above $3,886.10.
About This Procedure
HCPCS code E1035 was billed by 13 providers across 12K claims, totaling $807K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.19
Providers Billing
12
National Spending
$807K
Avg/Median Ratio
15.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E1035
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144522830 | $309K |
| 2 | 1578609327 | $277K |
| 3 | 1598769374 | $73K |
| 4 | 1831501493 | $60K |
| 5 | 1366622490 | $35K |
| 6 | 1578505376 | $16K |
| 7 | 1689671836 | $16K |
| 8 | 1134182207 | $12K |
| 9 | 1942308754 | $6K |
| 10 | 1134303902 | $2K |
| 11 | 1760400014 | $799 |
| 12 | 1356450282 | $0 |
| 13 | 1942617162 | $0 |
Showing top 13 of 13 providers billing this code