#4259 of 11K

E2603

HCPCS Procedure Code

HCPCS code E2603 is the #4,259 most-billed Medicaid procedure code, with $708K in payments across 11K claims from 2018–2024. The national median cost per claim is $73.24.

Total Paid

$708K

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for E2603? Based on 31 providers billing this code nationally.

Median

$73.24

Average

$69.69

Std Dev

$41.48

Max

$145.00

Percentile Distribution (Cost per Claim)

p10

$18.07

p25

$30.67

Median

$73.24

p75

$98.96

p90

$119.34

p95

$132.25

p99

$143.94

50% of providers bill between $30.67 and $98.96 per claim for this code.

90% bill between $18.07 and $119.34.

Top 1% bill above $143.94.

About This Procedure

HCPCS code E2603 was billed by 31 providers across 11K claims, totaling $708K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.24

Providers Billing

National Spending

$708K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2603

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053314021	$168K	$89.55	1.2× median	Above Median
2	1346711884	$144K	$145.00	2.0× median	Top 1%
3	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$118K	$68.72	0.9× median	Below Median
4	1093716334	$52K	$82.66	1.1× median	Above Median
5	1013911056	$51K	$110.38	1.5× median	Above 75th
6	1184716672	$37K	$86.46	1.2× median	Above Median
7	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$33K	$20.86	0.3× median	Below Median
8	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$21K	$33.36	0.5× median	Below Median
9	1740589407	$15K	$83.02	1.1× median	Above Median
10	1447277264	$10K	$9.87	0.1× median	Below Median
11	1447567334	$6K	$119.34	1.6× median	Top 10%
12	1851320774	$6K	$57.75	0.8× median	Below Median
13	1851395271	$6K	$111.96	1.5× median	Above 75th
14	1023096104	$6K	$18.79	0.3× median	Below Median
15	1306990619	$4K	$82.10	1.1× median	Above Median
16	1730182023	$4K	$18.07	0.2× median	Below Median
17	1184883472	$4K	$93.28	1.3× median	Above Median
18	1912654120	$3K	$95.20	1.3× median	Above Median
19	1790714624	$3K	$73.24	1.0× median	Below Median
20	1174623003	$2K	$123.01	1.7× median	Top 10%

Showing top 20 of 31 providers billing this code

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