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)
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.