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#5171 of 11K

11423

HCPCS Procedure Code

HCPCS code 11423 is the #5,171 most-billed Medicaid procedure code, with $270K in payments across 5,611 claims from 2018–2024. The national median cost per claim is $59.94. Costs vary widely — the 90th percentile is $135.93 per claim, 2.3× the median.

Total Paid

$270K

0.00% of all spending

Total Claims

5,611

Providers

10

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 11423? Based on 7 providers billing this code nationally.

Median

$59.94

Average

$75.27

Std Dev

$48.53

Max

$154.74

Percentile Distribution (Cost per Claim)

p10
$30.34
p25
$45.06
Median
$59.94
p75
$102.23
p90
$135.93
p95
$145.34
p99
$152.86

50% of providers bill between $45.06 and $102.23 per claim for this code.

90% bill between $30.34 and $135.93.

Top 1% bill above $152.86.

About This Procedure

HCPCS code 11423 was billed by 10 providers across 5,611 claims, totaling $270K in Medicaid payments from 2018–2024. This code was used for 4,919 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.94

Providers Billing

7

National Spending

$270K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11423

#ProviderTotal Paid
11568873727$221K
21912928763$29K
31750378568$6K
41952848103$6K
51609981885$3K
61912055336$2K
71194909556$2K
81225177751$0
91477649119$0
101295967719$0

Showing top 10 of 10 providers billing this code