Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7562 of 11K

E2396

HCPCS Procedure Code

HCPCS code E2396 is the #7,562 most-billed Medicaid procedure code, with $15K in payments across 2K claims from 2018–2024. The national median cost per claim is $11.51. Costs vary widely — the 90th percentile is $25.89 per claim, 2.2× the median.

Total Paid

$15K

0.00% of all spending

Total Claims

2K

Providers

7

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for E2396? Based on 7 providers billing this code nationally.

Median

$11.51

Average

$15.48

Std Dev

$12.15

Max

$42.27

Percentile Distribution (Cost per Claim)

p10
$8.06
p25
$10.23
Median
$11.51
p75
$14.09
p90
$25.89
p95
$34.08
p99
$40.63

50% of providers bill between $10.23 and $14.09 per claim for this code.

90% bill between $8.06 and $25.89.

Top 1% bill above $40.63.

About This Procedure

HCPCS code E2396 was billed by 7 providers across 2K claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 914 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.51

Providers Billing

7

National Spending

$15K

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2396

#ProviderTotal Paid
11669747390$8K
21902023013$3K
31538137195$2K
41841286929$621
51720645575$507
61295049815$319
71215377783$173

Showing top 7 of 7 providers billing this code