11104
HCPCS Procedure Code
HCPCS code 11104 is the #2,099 most-billed Medicaid procedure code, with $9.0M in payments across 82K claims from 2018–2024. The national median cost per claim is $76.74. Costs vary widely — the 90th percentile is $209.01 per claim, 2.7× the median.
Total Paid
$9.0M
0.00% of all spending
Total Claims
82K
Providers
276
Avg Cost/Claim
$110
National Cost Distribution
How much do providers bill per claim for 11104? Based on 271 providers billing this code nationally.
Median
$76.74
Average
$112.96
Std Dev
$123.50
Max
$654.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.35 and $106.67 per claim for this code.
90% bill between $31.57 and $209.01.
Top 1% bill above $623.06.
About This Procedure
HCPCS code 11104 was billed by 276 providers across 82K claims, totaling $9.0M in Medicaid payments from 2018–2024. This code was used for 75K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.74
Providers Billing
271
National Spending
$9.0M
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11104
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.0M |
| 2 | State Of Connecticut Farmington, CT · Counselor, Professional | $453K |
| 3 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $375K |
| 4 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $371K |
| 5 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $365K |
| 6 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $345K |
| 7 | 1134349954 | $280K |
| 8 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $269K |
| 9 | University Of Washington Seattle, WA · Clinic/Center, Dental | $259K |
| 10 | 1720089279 | $250K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $228K |
| 12 | 1306982855 | $228K |
| 13 | 1447244256 | $227K |
| 14 | 1184027104 | $213K |
| 15 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $187K |
| 16 | 1053493288 | $180K |
| 17 | 1154407856 | $173K |
| 18 | 1548489602 | $124K |
| 19 | 1417263922 | $112K |
| 20 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $102K |
Showing top 20 of 276 providers billing this code