11421
HCPCS Procedure Code
HCPCS code 11421 is the #5,397 most-billed Medicaid procedure code, with $209K in payments across 7,801 claims from 2018–2024. The national median cost per claim is $31.32.
Total Paid
$209K
0.00% of all spending
Total Claims
7,801
Providers
20
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 11421? Based on 18 providers billing this code nationally.
Median
$31.32
Average
$31.52
Std Dev
$27.91
Max
$96.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.19 and $47.36 per claim for this code.
90% bill between $2.26 and $61.47.
Top 1% bill above $93.31.
About This Procedure
HCPCS code 11421 was billed by 20 providers across 7,801 claims, totaling $209K in Medicaid payments from 2018–2024. This code was used for 6,181 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.32
Providers Billing
18
National Spending
$209K
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11421
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952848103 | $104K |
| 2 | 1073600664 | $55K |
| 3 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $25K |
| 4 | 1952394751 | $13K |
| 5 | 1871587691 | $4K |
| 6 | 1568873727 | $2K |
| 7 | 1649306648 | $1K |
| 8 | 1902960099 | $1K |
| 9 | 1245330364 | $822 |
| 10 | 1750390142 | $794 |
| 11 | 1679747380 | $634 |
| 12 | 1225177751 | $531 |
| 13 | 1720262082 | $487 |
| 14 | 1720755689 | $185 |
| 15 | 1700156189 | $49 |
| 16 | 1538597174 | $38 |
| 17 | 1609981885 | $35 |
| 18 | 1306911680 | $24 |
| 19 | 1477649119 | $0 |
| 20 | 1972648947 | $0 |
Showing top 20 of 20 providers billing this code