11404
HCPCS Procedure Code
HCPCS code 11404 is the #6,702 most-billed Medicaid procedure code, with $47K in payments across 743 claims from 2018–2024. The national median cost per claim is $67.07. Costs vary widely — the 90th percentile is $246.19 per claim, 3.7× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
743
Providers
4
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for 11404? Based on 3 providers billing this code nationally.
Median
$67.07
Average
$137.67
Std Dev
$132.90
Max
$290.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.01 and $179.02 per claim for this code.
90% bill between $57.38 and $246.19.
Top 1% bill above $286.49.
About This Procedure
HCPCS code 11404 was billed by 4 providers across 743 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 648 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$67.07
Providers Billing
3
National Spending
$47K
Avg/Median Ratio
2.05×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.