E1223
HCPCS Procedure Code
HCPCS code E1223 is the #4,192 most-billed Medicaid procedure code, with $767K in payments across 7K claims from 2018–2024. The national median cost per claim is $880.58.
Total Paid
$767K
0.00% of all spending
Total Claims
7K
Providers
5
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for E1223? Based on 5 providers billing this code nationally.
Median
$880.58
Average
$1,020.59
Std Dev
$719.19
Max
$1,808.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $749.78 and $1,633.73 per claim for this code.
90% bill between $318.35 and $1,738.37.
Top 1% bill above $1,801.15.
About This Procedure
HCPCS code E1223 was billed by 5 providers across 7K claims, totaling $767K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$880.58
Providers Billing
5
National Spending
$767K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E1223
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790714624 | $328K |
| 2 | 1316198633 | $204K |
| 3 | 1164609699 | $98K |
| 4 | 1770108169 | $85K |
| 5 | 1093112435 | $52K |
Showing top 5 of 5 providers billing this code