0611
HCPCS Procedure Code
HCPCS code 0611 is the #8,334 most-billed Medicaid procedure code, with $4K in payments across 2K claims from 2018–2024. The national median cost per claim is $0.53. Costs vary widely — the 90th percentile is $223.88 per claim, 422.4× the median.
Total Paid
$4K
0.00% of all spending
Total Claims
2K
Providers
12
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 0611? Based on 3 providers billing this code nationally.
Median
$0.53
Average
$93.42
Std Dev
$161.33
Max
$279.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.28 and $140.12 per claim for this code.
90% bill between $0.13 and $223.88.
Top 1% bill above $274.13.
About This Procedure
HCPCS code 0611 was billed by 12 providers across 2K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.53
Providers Billing
3
National Spending
$4K
Avg/Median Ratio
176.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0611
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477554152 | $3K |
| 2 | 1336328244 | $304 |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $22 |
| 4 | 1558575746 | $0 |
| 5 | Kaiser Foundation Hospitals Anaheim, CA · General Acute Care Hospital | $0 |
| 6 | 1114081056 | $0 |
| 7 | 1518951300 | $0 |
| 8 | 1275576381 | $0 |
| 9 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 10 | 1932197258 | $0 |
| 11 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $0 |
| 12 | 1811080526 | $0 |
Showing top 12 of 12 providers billing this code