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#5397 of 11K

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)

p10
$2.26
p25
$5.19
Median
$31.32
p75
$47.36
p90
$61.47
p95
$79.95
p99
$93.31

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

#ProviderTotal Paid
11952848103$104K
21073600664$55K
3New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$25K
41952394751$13K
51871587691$4K
61568873727$2K
71649306648$1K
81902960099$1K
91245330364$822
101750390142$794
111679747380$634
121225177751$531
131720262082$487
141720755689$185
151700156189$49
161538597174$38
171609981885$35
181306911680$24
191477649119$0
201972648947$0

Showing top 20 of 20 providers billing this code