11420
HCPCS Procedure Code
HCPCS code 11420 is the #5,989 most-billed Medicaid procedure code, with $109K in payments across 4,525 claims from 2018–2024. The national median cost per claim is $18.87. Costs vary widely — the 90th percentile is $49.73 per claim, 2.6× the median.
Total Paid
$109K
0.00% of all spending
Total Claims
4,525
Providers
23
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 11420? Based on 19 providers billing this code nationally.
Median
$18.87
Average
$23.22
Std Dev
$22.54
Max
$91.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.83 and $27.28 per claim for this code.
90% bill between $3.52 and $49.73.
Top 1% bill above $85.71.
About This Procedure
HCPCS code 11420 was billed by 23 providers across 4,525 claims, totaling $109K in Medicaid payments from 2018–2024. This code was used for 3,373 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.87
Providers Billing
19
National Spending
$109K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891806154 | $29K |
| 2 | 1609836063 | $24K |
| 3 | 1982769477 | $21K |
| 4 | 1982733622 | $13K |
| 5 | 1619394608 | $6K |
| 6 | 1750390142 | $4K |
| 7 | 1821181223 | $3K |
| 8 | 1669459830 | $2K |
| 9 | 1306924725 | $2K |
| 10 | 1275567406 | $1K |
| 11 | 1184913287 | $1K |
| 12 | 1962809400 | $741 |
| 13 | 1841491354 | $560 |
| 14 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $493 |
| 15 | 1225177751 | $264 |
| 16 | 1558348730 | $174 |
| 17 | 1609981885 | $165 |
| 18 | 1447514278 | $102 |
| 19 | 1750518130 | $80 |
| 20 | 1033194345 | $0 |
Showing top 20 of 23 providers billing this code