11403
HCPCS Procedure Code
HCPCS code 11403 is the #4,922 most-billed Medicaid procedure code, with $353K in payments across 7,210 claims from 2018–2024. The national median cost per claim is $66.68.
Total Paid
$353K
0.00% of all spending
Total Claims
7,210
Providers
19
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for 11403? Based on 19 providers billing this code nationally.
Median
$66.68
Average
$64.76
Std Dev
$24.45
Max
$120.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.16 and $76.56 per claim for this code.
90% bill between $39.59 and $90.08.
Top 1% bill above $116.05.
About This Procedure
HCPCS code 11403 was billed by 19 providers across 7,210 claims, totaling $353K in Medicaid payments from 2018–2024. This code was used for 6,034 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$66.68
Providers Billing
19
National Spending
$353K
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11403
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $264K |
| 2 | 1235671389 | $28K |
| 3 | 1093068611 | $16K |
| 4 | 1912096280 | $9K |
| 5 | 1487659512 | $9K |
| 6 | 1881023927 | $5K |
| 7 | 1295736064 | $5K |
| 8 | 1780159749 | $4K |
| 9 | 1134349954 | $3K |
| 10 | 1306982855 | $2K |
| 11 | 1831284793 | $1K |
| 12 | 1801342639 | $1K |
| 13 | 1932432929 | $1K |
| 14 | 1710124417 | $1K |
| 15 | 1740410182 | $1K |
| 16 | 1174565600 | $984 |
| 17 | 1073662946 | $972 |
| 18 | 1184610248 | $690 |
| 19 | 1609981885 | $650 |
Showing top 19 of 19 providers billing this code