#1874 of 11K

E2607

HCPCS Procedure Code

HCPCS code E2607 is the #1,874 most-billed Medicaid procedure code, with $12.4M in payments across 75K claims from 2018–2024. The national median cost per claim is $150.23.

Total Paid

$12.4M

0.00% of all spending

Total Claims

75K

Providers

169

Avg Cost/Claim

$165

National Cost Distribution

How much do providers bill per claim for E2607? Based on 169 providers billing this code nationally.

Median

$150.23

Average

$152.71

Std Dev

$58.81

Max

$290.05

Percentile Distribution (Cost per Claim)

p10

$78.12

p25

$112.82

Median

$150.23

p75

$188.81

p90

$237.68

p95

$248.23

p99

$280.26

50% of providers bill between $112.82 and $188.81 per claim for this code.

90% bill between $78.12 and $237.68.

Top 1% bill above $280.26.

About This Procedure

HCPCS code E2607 was billed by 169 providers across 75K claims, totaling $12.4M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$150.23

Providers Billing

169

National Spending

$12.4M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2607

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1518037787	$1.1M	$239.43	1.6× median	Top 10%
2	1487624193	$635K	$231.64	1.5× median	Above 75th
3	1346711884	$542K	$276.96	1.8× median	Top 10%
4	1932484979	$529K	$210.92	1.4× median	Above 75th
5	1184883472	$448K	$168.41	1.1× median	Above Median
6	1043209794	$397K	$150.23	1.0× median	Above Median
7	1003052598	$392K	$237.47	1.6× median	Above 75th
8	1518231547	$355K	$159.25	1.1× median	Above Median
9	1841263621	$326K	$151.98	1.0× median	Above Median
10	1215933791	$292K	$164.63	1.1× median	Above Median
11	1538576509	$275K	$135.12	0.9× median	Below Median
12	1407497977	$247K	$156.80	1.0× median	Above Median
13	1003889684	$243K	$212.37	1.4× median	Above 75th
14	1326011263	$230K	$132.09	0.9× median	Below Median
15	1780758219	$230K	$136.61	0.9× median	Below Median
16	1144515255	$226K	$287.27	1.9× median	Top 1%
17	1679546519	$224K	$178.86	1.2× median	Above Median
18	1568695476	$223K	$274.82	1.8× median	Top 10%
19	1609858752	$219K	$182.93	1.2× median	Above Median
20	1477526333	$217K	$263.44	1.8× median	Top 10%

Showing top 20 of 169 providers billing this code

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