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#4667 of 11K

1111F

HCPCS Procedure Code

HCPCS code 1111F is the #4,667 most-billed Medicaid procedure code, with $459K in payments across 2.7M claims from 2018–2024. The national median cost per claim is $0.08. Costs vary widely — the 90th percentile is $3.49 per claim, 43.6× the median.

Total Paid

$459K

0.00% of all spending

Total Claims

2.7M

Providers

2,987

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1111F? Based on 399 providers billing this code nationally.

Median

$0.08

Average

$1.94

Std Dev

$7.80

Max

$99.04

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.08
p75
$1.18
p90
$3.49
p95
$6.16
p99
$34.81

50% of providers bill between $0.00 and $1.18 per claim for this code.

90% bill between $0.00 and $3.49.

Top 1% bill above $34.81.

About This Procedure

HCPCS code 1111F was billed by 2,987 providers across 2.7M claims, totaling $459K in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.08

Providers Billing

399

National Spending

$459K

Avg/Median Ratio

24.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1111F

#ProviderTotal Paid
11275567588$79K
21356899777$35K
31861468340$30K
41346266848$25K
51962685933$20K
61437508314$20K
71912377813$17K
81043387327$15K
91790930618$14K
101760626758$13K
111669593562$12K
121093777930$9K
131043751035$9K
141689009854$9K
151376093609$9K
161851736441$8K
171760444194$6K
181952451031$6K
191215043633$6K
201801965371$5K

Showing top 20 of 2,987 providers billing this code