11105
HCPCS Procedure Code
HCPCS code 11105 is the #4,842 most-billed Medicaid procedure code, with $379K in payments across 12K claims from 2018–2024. The national median cost per claim is $36.75. Costs vary widely — the 90th percentile is $74.72 per claim, 2.0× the median.
Total Paid
$379K
0.00% of all spending
Total Claims
12K
Providers
38
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 11105? Based on 35 providers billing this code nationally.
Median
$36.75
Average
$41.10
Std Dev
$25.04
Max
$111.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.20 and $56.84 per claim for this code.
90% bill between $13.24 and $74.72.
Top 1% bill above $100.90.
About This Procedure
HCPCS code 11105 was billed by 38 providers across 12K claims, totaling $379K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.75
Providers Billing
35
National Spending
$379K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11105
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447244256 | $132K |
| 2 | 1720089279 | $77K |
| 3 | 1154407856 | $47K |
| 4 | 1306982855 | $37K |
| 5 | 1154592368 | $27K |
| 6 | 1154796969 | $12K |
| 7 | 1861930984 | $10K |
| 8 | 1104871193 | $7K |
| 9 | 1497241053 | $4K |
| 10 | 1184027104 | $4K |
| 11 | 1720110968 | $3K |
| 12 | 1144680604 | $2K |
| 13 | 1285116228 | $2K |
| 14 | 1831310390 | $1K |
| 15 | 1740410182 | $1K |
| 16 | 1891327185 | $1K |
| 17 | 1053493288 | $1K |
| 18 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1K |
| 19 | 1508035411 | $967 |
| 20 | 1962426502 | $953 |
Showing top 20 of 38 providers billing this code