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#4842 of 11K

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)

p10
$13.24
p25
$23.20
Median
$36.75
p75
$56.84
p90
$74.72
p95
$77.62
p99
$100.90

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

#ProviderTotal Paid
11447244256$132K
21720089279$77K
31154407856$47K
41306982855$37K
51154592368$27K
61154796969$12K
71861930984$10K
81104871193$7K
91497241053$4K
101184027104$4K
111720110968$3K
121144680604$2K
131285116228$2K
141831310390$1K
151740410182$1K
161891327185$1K
171053493288$1K
18The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$1K
191508035411$967
201962426502$953

Showing top 20 of 38 providers billing this code