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#6071 of 11K

11312

HCPCS Procedure Code

HCPCS code 11312 is the #6,071 most-billed Medicaid procedure code, with $98K in payments across 2,223 claims from 2018–2024. The national median cost per claim is $32.81. Costs vary widely — the 90th percentile is $112.89 per claim, 3.4× the median.

Total Paid

$98K

0.00% of all spending

Total Claims

2,223

Providers

10

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 11312? Based on 10 providers billing this code nationally.

Median

$32.81

Average

$45.01

Std Dev

$43.04

Max

$119.57

Percentile Distribution (Cost per Claim)

p10
$5.81
p25
$11.33
Median
$32.81
p75
$66.17
p90
$112.89
p95
$116.23
p99
$118.90

50% of providers bill between $11.33 and $66.17 per claim for this code.

90% bill between $5.81 and $112.89.

Top 1% bill above $118.90.

About This Procedure

HCPCS code 11312 was billed by 10 providers across 2,223 claims, totaling $98K in Medicaid payments from 2018–2024. This code was used for 2,036 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.81

Providers Billing

10

National Spending

$98K

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11312

#ProviderTotal Paid
11407804115$28K
21154407856$28K
31720110968$19K
41295831360$14K
51497716609$4K
61972662716$3K
71942340542$2K
81306959721$757
91568873727$258
101790395747$1

Showing top 10 of 10 providers billing this code