11012
HCPCS Procedure Code
HCPCS code 11012 is the #5,870 most-billed Medicaid procedure code, with $126K in payments across 599 claims from 2018–2024. The national median cost per claim is $172.88.
Total Paid
$126K
0.00% of all spending
Total Claims
599
Providers
10
Avg Cost/Claim
$210
National Cost Distribution
How much do providers bill per claim for 11012? Based on 10 providers billing this code nationally.
Median
$172.88
Average
$192.08
Std Dev
$94.64
Max
$391.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $137.60 and $218.24 per claim for this code.
90% bill between $122.65 and $298.96.
Top 1% bill above $382.52.
About This Procedure
HCPCS code 11012 was billed by 10 providers across 599 claims, totaling $126K in Medicaid payments from 2018–2024. This code was used for 426 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$172.88
Providers Billing
10
National Spending
$126K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11012
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $63K |
| 2 | 1073827101 | $23K |
| 3 | 1841241437 | $12K |
| 4 | 1104492891 | $8K |
| 5 | 1528014164 | $5K |
| 6 | 1407304439 | $4K |
| 7 | 1972502227 | $4K |
| 8 | 1831218627 | $3K |
| 9 | 1679516033 | $3K |
| 10 | 1912395369 | $1K |
Showing top 10 of 10 providers billing this code