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#5673 of 11K

E1234

HCPCS Procedure Code

HCPCS code E1234 is the #5,673 most-billed Medicaid procedure code, with $157K in payments across 89 claims from 2018–2024. The national median cost per claim is $1,532.79.

Total Paid

$157K

0.00% of all spending

Total Claims

89

Providers

3

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for E1234? Based on 3 providers billing this code nationally.

Median

$1,532.79

Average

$1,716.04

Std Dev

$318.63

Max

$2,083.96

Percentile Distribution (Cost per Claim)

p10
$1,531.65
p25
$1,532.08
Median
$1,532.79
p75
$1,808.37
p90
$1,973.72
p95
$2,028.84
p99
$2,072.93

50% of providers bill between $1,532.08 and $1,808.37 per claim for this code.

90% bill between $1,531.65 and $1,973.72.

Top 1% bill above $2,072.93.

About This Procedure

HCPCS code E1234 was billed by 3 providers across 89 claims, totaling $157K in Medicaid payments from 2018–2024. This code was used for 87 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,532.79

Providers Billing

3

National Spending

$157K

Avg/Median Ratio

1.12×

Normal distribution

Provider Coverage

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