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#4922 of 11K

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)

p10
$39.59
p25
$46.16
Median
$66.68
p75
$76.56
p90
$90.08
p95
$98.11
p99
$116.05

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

#ProviderTotal Paid
11568873727$264K
21235671389$28K
31093068611$16K
41912096280$9K
51487659512$9K
61881023927$5K
71295736064$5K
81780159749$4K
91134349954$3K
101306982855$2K
111831284793$1K
121801342639$1K
131932432929$1K
141710124417$1K
151740410182$1K
161174565600$984
171073662946$972
181184610248$690
191609981885$650

Showing top 19 of 19 providers billing this code