11422
HCPCS Procedure Code
HCPCS code 11422 is the #4,317 most-billed Medicaid procedure code, with $669K in payments across 14K claims from 2018–2024. The national median cost per claim is $60.77.
Total Paid
$669K
0.00% of all spending
Total Claims
14K
Providers
19
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 11422? Based on 18 providers billing this code nationally.
Median
$60.77
Average
$55.86
Std Dev
$38.40
Max
$123.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.59 and $84.00 per claim for this code.
90% bill between $0.48 and $98.04.
Top 1% bill above $121.18.
About This Procedure
HCPCS code 11422 was billed by 19 providers across 14K claims, totaling $669K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.77
Providers Billing
18
National Spending
$669K
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11422
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952848103 | $379K |
| 2 | 1568873727 | $180K |
| 3 | 1902960099 | $35K |
| 4 | 1952394751 | $26K |
| 5 | 1912928763 | $13K |
| 6 | 1235671389 | $13K |
| 7 | 1871587691 | $7K |
| 8 | 1073662946 | $4K |
| 9 | 1134349954 | $3K |
| 10 | 1750390142 | $2K |
| 11 | 1104871193 | $2K |
| 12 | 1194909556 | $1K |
| 13 | 1912950775 | $1K |
| 14 | 1780159749 | $1K |
| 15 | 1063404259 | $1K |
| 16 | 1609981885 | $120 |
| 17 | 1295967719 | $0 |
| 18 | 1225177751 | $0 |
| 19 | 1477649119 | $0 |
Showing top 19 of 19 providers billing this code