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#3750 of 11K

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)

p10
$3.71
p25
$12.65
Median
$23.01
p75
$34.42
p90
$57.23
p95
$64.91
p99
$89.85

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

#ProviderTotal Paid
11063554475$119K
21316011703$95K
31235313123$82K
41619194446$76K
51487959037$72K
61811083389$64K
71891806154$63K
81790876506$53K
91043600968$47K
101740391499$44K
111043253230$41K
121801013149$38K
131093251142$36K
141245455146$29K
151386753887$27K
161467550897$26K
171710999792$22K
181275701294$22K
191487749818$21K
201194888255$18K

Showing top 20 of 94 providers billing this code