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#5488 of 11K

E1238

HCPCS Procedure Code

HCPCS code E1238 is the #5,488 most-billed Medicaid procedure code, with $189K in payments across 1K claims from 2018–2024. The national median cost per claim is $146.43. Costs vary widely — the 90th percentile is $580.46 per claim, 4.0× the median.

Total Paid

$189K

0.00% of all spending

Total Claims

1K

Providers

7

Avg Cost/Claim

$166

National Cost Distribution

How much do providers bill per claim for E1238? Based on 7 providers billing this code nationally.

Median

$146.43

Average

$291.55

Std Dev

$406.35

Max

$1,212.49

Percentile Distribution (Cost per Claim)

p10
$121.74
p25
$129.52
Median
$146.43
p75
$153.29
p90
$580.46
p95
$896.47
p99
$1,149.29

50% of providers bill between $129.52 and $153.29 per claim for this code.

90% bill between $121.74 and $580.46.

Top 1% bill above $1,149.29.

About This Procedure

HCPCS code E1238 was billed by 7 providers across 1K claims, totaling $189K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$146.43

Providers Billing

7

National Spending

$189K

Avg/Median Ratio

1.99×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E1238

#ProviderTotal Paid
11003924713$80K
21265526396$66K
31609858752$21K
41710081930$9K
51154338184$7K
61457315418$3K
7Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$2K

Showing top 7 of 7 providers billing this code