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#4027 of 11K

11402

HCPCS Procedure Code

HCPCS code 11402 is the #4,027 most-billed Medicaid procedure code, with $919K in payments across 17K claims from 2018–2024. The national median cost per claim is $68.11.

Total Paid

$919K

0.00% of all spending

Total Claims

17K

Providers

39

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 11402? Based on 37 providers billing this code nationally.

Median

$68.11

Average

$112.58

Std Dev

$202.40

Max

$1,190.45

Percentile Distribution (Cost per Claim)

p10
$33.74
p25
$45.72
Median
$68.11
p75
$96.42
p90
$134.61
p95
$236.30
p99
$964.75

50% of providers bill between $45.72 and $96.42 per claim for this code.

90% bill between $33.74 and $134.61.

Top 1% bill above $964.75.

About This Procedure

HCPCS code 11402 was billed by 39 providers across 17K claims, totaling $919K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.11

Providers Billing

37

National Spending

$919K

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 11402

#ProviderTotal Paid
11568873727$426K
21902960099$71K
31780159749$65K
41235671389$65K
51134349954$30K
61073662946$29K
71013994839$28K
81629219522$26K
91407804115$25K
101740410182$18K
111104110071$17K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$15K
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$14K
141003082090$12K
151720089279$12K
161063404259$11K
171891806154$7K
181548692197$6K
191912950775$6K
201306982855$5K

Showing top 20 of 39 providers billing this code