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#4958 of 11K

11313

HCPCS Procedure Code

HCPCS code 11313 is the #4,958 most-billed Medicaid procedure code, with $340K in payments across 2,298 claims from 2018–2024. The national median cost per claim is $111.85.

Total Paid

$340K

0.00% of all spending

Total Claims

2,298

Providers

2

Avg Cost/Claim

$148

National Cost Distribution

How much do providers bill per claim for 11313? Based on 2 providers billing this code nationally.

Median

$111.85

Average

$111.85

Std Dev

$88.68

Max

$174.56

Percentile Distribution (Cost per Claim)

p10
$61.69
p25
$80.50
Median
$111.85
p75
$143.20
p90
$162.02
p95
$168.29
p99
$173.30

50% of providers bill between $80.50 and $143.20 per claim for this code.

90% bill between $61.69 and $162.02.

Top 1% bill above $173.30.

About This Procedure

HCPCS code 11313 was billed by 2 providers across 2,298 claims, totaling $340K in Medicaid payments from 2018–2024. This code was used for 2,005 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$111.85

Providers Billing

2

National Spending

$340K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.