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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407804115 | $28K |
| 2 | 1154407856 | $28K |
| 3 | 1720110968 | $19K |
| 4 | 1295831360 | $14K |
| 5 | 1497716609 | $4K |
| 6 | 1972662716 | $3K |
| 7 | 1942340542 | $2K |
| 8 | 1306959721 | $757 |
| 9 | 1568873727 | $258 |
| 10 | 1790395747 | $1 |
Showing top 10 of 10 providers billing this code