#3239 of 11K

E2365

HCPCS Procedure Code

HCPCS code E2365 is the #3,239 most-billed Medicaid procedure code, with $2.2M in payments across 59K claims from 2018–2024. The national median cost per claim is $49.65. Costs vary widely — the 90th percentile is $101.25 per claim, 2.0× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

59K

Providers

109

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for E2365? Based on 108 providers billing this code nationally.

Median

$49.65

Average

$56.47

Std Dev

$39.12

Max

$240.85

Percentile Distribution (Cost per Claim)

p10

$11.29

p25

$32.80

Median

$49.65

p75

$74.88

p90

$101.25

p95

$119.66

p99

$171.47

50% of providers bill between $32.80 and $74.88 per claim for this code.

90% bill between $11.29 and $101.25.

Top 1% bill above $171.47.

About This Procedure

HCPCS code E2365 was billed by 109 providers across 59K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.65

Providers Billing

108

National Spending

$2.2M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2365

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1023096104	$522K	$27.99	0.6× median	Below Median
2	1003065418	$117K	$41.96	0.8× median	Below Median
3	1992095988	$103K	$82.36	1.7× median	Above 75th
4	1326077249	$92K	$59.28	1.2× median	Above Median
5	1538373998	$90K	$38.17	0.8× median	Below Median
6	1922248392	$88K	$44.61	0.9× median	Below Median
7	1790714624	$79K	$38.38	0.8× median	Below Median
8	1477594877	$74K	$42.24	0.9× median	Below Median
9	1043209794	$61K	$98.89	2.0× median	Above 75th
10	1720351786	$52K	$16.72	0.3× median	Below Median
11	1568491496	$44K	$44.77	0.9× median	Below Median
12	1851320774	$39K	$62.57	1.3× median	Above Median
13	1457396376	$39K	$20.70	0.4× median	Below Median
14	1588994610	$33K	$36.53	0.7× median	Below Median
15	1912978669	$32K	$75.32	1.5× median	Above 75th
16	1902815665	$31K	$97.41	2.0× median	Above 75th
17	1538576509	$31K	$66.19	1.3× median	Above Median
18	1649413022	$30K	$52.59	1.1× median	Above Median
19	1184653024	$29K	$34.93	0.7× median	Below Median
20	1669747390	$27K	$38.44	0.8× median	Below Median

Showing top 20 of 109 providers billing this code

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