11043
HCPCS Procedure Code
HCPCS code 11043 is the #825 most-billed Medicaid procedure code, with $71.4M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $62.99. Costs vary widely — the 90th percentile is $197.95 per claim, 3.1× the median.
Total Paid
$71.4M
0.01% of all spending
Total Claims
1.2M
Providers
647
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for 11043? Based on 632 providers billing this code nationally.
Median
$62.99
Average
$93.07
Std Dev
$104.78
Max
$944.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.99 and $115.59 per claim for this code.
90% bill between $12.07 and $197.95.
Top 1% bill above $555.60.
About This Procedure
HCPCS code 11043 was billed by 647 providers across 1.2M claims, totaling $71.4M in Medicaid payments from 2018–2024. This code was used for 497K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.99
Providers Billing
632
National Spending
$71.4M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11043
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104018423 | $4.4M |
| 2 | 1063848968 | $3.5M |
| 3 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $2.9M |
| 4 | 1821424789 | $2.8M |
| 5 | 1679004592 | $2.3M |
| 6 | 1083883938 | $2.3M |
| 7 | 1447527320 | $1.7M |
| 8 | 1235333972 | $1.7M |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 10 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $1.5M |
| 11 | 1255620555 | $1.4M |
| 12 | 1811398811 | $1.4M |
| 13 | 1437675980 | $1.4M |
| 14 | 1346539640 | $1.4M |
| 15 | 1205130911 | $1.2M |
| 16 | 1861450579 | $961K |
| 17 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $878K |
| 18 | 1447670955 | $859K |
| 19 | 1841599339 | $841K |
| 20 | 1114393311 | $820K |
Showing top 20 of 647 providers billing this code