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#5420 of 11K

11401

HCPCS Procedure Code

HCPCS code 11401 is the #5,420 most-billed Medicaid procedure code, with $203K in payments across 3,339 claims from 2018–2024. The national median cost per claim is $71.34.

Total Paid

$203K

0.00% of all spending

Total Claims

3,339

Providers

21

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for 11401? Based on 20 providers billing this code nationally.

Median

$71.34

Average

$75.23

Std Dev

$39.21

Max

$138.71

Percentile Distribution (Cost per Claim)

p10
$34.06
p25
$45.19
Median
$71.34
p75
$105.36
p90
$126.73
p95
$131.62
p99
$137.29

50% of providers bill between $45.19 and $105.36 per claim for this code.

90% bill between $34.06 and $126.73.

Top 1% bill above $137.29.

About This Procedure

HCPCS code 11401 was billed by 21 providers across 3,339 claims, totaling $203K in Medicaid payments from 2018–2024. This code was used for 2,959 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.34

Providers Billing

20

National Spending

$203K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11401

#ProviderTotal Paid
11568873727$58K
21902960099$44K
31629219522$28K
41578033577$15K
51124014741$12K
61407804115$12K
71013994839$7K
81720089279$7K
91821093550$5K
101114340510$4K
111013971712$3K
121801342639$2K
131659553691$1K
141912281759$1K
151740671767$1K
161134375421$1K
171154592368$716
181861930984$555
191063404259$321
201609981885$35

Showing top 20 of 21 providers billing this code