#1076 of 11K

E2609

HCPCS Procedure Code

HCPCS code E2609 is the #1,076 most-billed Medicaid procedure code, with $42.7M in payments across 48K claims from 2018–2024. The national median cost per claim is $840.30.

Total Paid

$42.7M

0.00% of all spending

Total Claims

48K

Providers

Avg Cost/Claim

$890

National Cost Distribution

How much do providers bill per claim for E2609? Based on 78 providers billing this code nationally.

Median

$840.30

Average

$899.35

Std Dev

$416.36

Max

$2,295.73

Percentile Distribution (Cost per Claim)

p10

$462.80

p25

$619.78

Median

$840.30

p75

$1,067.35

p90

$1,430.10

p95

$1,794.60

p99

$1,974.56

50% of providers bill between $619.78 and $1,067.35 per claim for this code.

90% bill between $462.80 and $1,430.10.

Top 1% bill above $1,974.56.

About This Procedure

HCPCS code E2609 was billed by 78 providers across 48K claims, totaling $42.7M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$840.30

Providers Billing

National Spending

$42.7M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2609

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639296817	$9.2M	$704.78	0.8× median	Below Median
2	1114966181	$5.1M	$943.44	1.1× median	Above Median
3	1891750691	$5.0M	$898.80	1.1× median	Above Median
4	1982949459	$3.8M	$1,141.35	1.4× median	Above 75th
5	1740293521	$2.0M	$858.68	1.0× median	Above Median
6	1588732812	$1.9M	$1,365.26	1.6× median	Above 75th
7	1477526333	$1.8M	$1,878.63	2.2× median	Top 10%
8	1003889684	$1.5M	$1,254.49	1.5× median	Above 75th
9	1932484979	$1.5M	$976.10	1.2× median	Above Median
10	1619971025	$1.2M	$1,265.75	1.5× median	Above 75th
11	1013998368	$1.1M	$804.59	1.0× median	Below Median
12	1881667434	$1.1M	$439.70	0.5× median	Below Median
13	1780758219	$843K	$1,036.00	1.2× median	Above Median
14	1568475341	$545K	$755.05	0.9× median	Below Median
15	1801181003	$472K	$1,708.57	2.0× median	Top 10%
16	1760541700	$433K	$1,336.48	1.6× median	Above 75th
17	1144515255	$429K	$2,295.73	2.7× median	Top 1%
18	1891768735	$427K	$1,713.24	2.0× median	Top 10%
19	1881779825	$344K	$837.66	1.0× median	Below Median
20	1053384990	$339K	$847.89	1.0× median	Above Median

Showing top 20 of 78 providers billing this code

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