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#7407 of 11K

E2397

HCPCS Procedure Code

HCPCS code E2397 is the #7,407 most-billed Medicaid procedure code, with $19K in payments across 176 claims from 2018–2024. The national median cost per claim is $65.69.

Total Paid

$19K

0.00% of all spending

Total Claims

176

Providers

3

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for E2397? Based on 3 providers billing this code nationally.

Median

$65.69

Average

$83.17

Std Dev

$47.07

Max

$136.49

Percentile Distribution (Cost per Claim)

p10
$51.02
p25
$56.52
Median
$65.69
p75
$101.09
p90
$122.33
p95
$129.41
p99
$135.07

50% of providers bill between $56.52 and $101.09 per claim for this code.

90% bill between $51.02 and $122.33.

Top 1% bill above $135.07.

About This Procedure

HCPCS code E2397 was billed by 3 providers across 176 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 148 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.69

Providers Billing

3

National Spending

$19K

Avg/Median Ratio

1.27×

Normal distribution

Provider Coverage

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