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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $221K |
| 2 | 1912928763 | $29K |
| 3 | 1750378568 | $6K |
| 4 | 1952848103 | $6K |
| 5 | 1609981885 | $3K |
| 6 | 1912055336 | $2K |
| 7 | 1194909556 | $2K |
| 8 | 1225177751 | $0 |
| 9 | 1477649119 | $0 |
| 10 | 1295967719 | $0 |
Showing top 10 of 10 providers billing this code