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#4409 of 11K

11303

HCPCS Procedure Code

HCPCS code 11303 is the #4,409 most-billed Medicaid procedure code, with $608K in payments across 4,699 claims from 2018–2024. The national median cost per claim is $63.90. Costs vary widely — the 90th percentile is $128.88 per claim, 2.0× the median.

Total Paid

$608K

0.00% of all spending

Total Claims

4,699

Providers

10

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for 11303? Based on 10 providers billing this code nationally.

Median

$63.90

Average

$64.89

Std Dev

$53.78

Max

$140.23

Percentile Distribution (Cost per Claim)

p10
$2.60
p25
$16.97
Median
$63.90
p75
$110.36
p90
$128.88
p95
$134.55
p99
$139.09

50% of providers bill between $16.97 and $110.36 per claim for this code.

90% bill between $2.60 and $128.88.

Top 1% bill above $139.09.

About This Procedure

HCPCS code 11303 was billed by 10 providers across 4,699 claims, totaling $608K in Medicaid payments from 2018–2024. This code was used for 3,989 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.90

Providers Billing

10

National Spending

$608K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11303

#ProviderTotal Paid
11720110968$577K
21407804115$18K
31972559862$4K
41558543421$3K
51619018561$2K
61669456257$2K
71295023547$1K
81306982855$281
91013995182$236
101609981885$34

Showing top 10 of 10 providers billing this code