11305
HCPCS Procedure Code
HCPCS code 11305 is the #3,750 most-billed Medicaid procedure code, with $1.2M in payments across 56K claims from 2018–2024. The national median cost per claim is $23.01. Costs vary widely — the 90th percentile is $57.23 per claim, 2.5× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
56K
Providers
94
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 11305? Based on 88 providers billing this code nationally.
Median
$23.01
Average
$26.59
Std Dev
$20.43
Max
$90.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.65 and $34.42 per claim for this code.
90% bill between $3.71 and $57.23.
Top 1% bill above $89.85.
About This Procedure
HCPCS code 11305 was billed by 94 providers across 56K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.01
Providers Billing
88
National Spending
$1.2M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11305
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063554475 | $119K |
| 2 | 1316011703 | $95K |
| 3 | 1235313123 | $82K |
| 4 | 1619194446 | $76K |
| 5 | 1487959037 | $72K |
| 6 | 1811083389 | $64K |
| 7 | 1891806154 | $63K |
| 8 | 1790876506 | $53K |
| 9 | 1043600968 | $47K |
| 10 | 1740391499 | $44K |
| 11 | 1043253230 | $41K |
| 12 | 1801013149 | $38K |
| 13 | 1093251142 | $36K |
| 14 | 1245455146 | $29K |
| 15 | 1386753887 | $27K |
| 16 | 1467550897 | $26K |
| 17 | 1710999792 | $22K |
| 18 | 1275701294 | $22K |
| 19 | 1487749818 | $21K |
| 20 | 1194888255 | $18K |
Showing top 20 of 94 providers billing this code