Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6352 of 11K

11424

HCPCS Procedure Code

HCPCS code 11424 is the #6,352 most-billed Medicaid procedure code, with $72K in payments across 1,307 claims from 2018–2024. The national median cost per claim is $80.91.

Total Paid

$72K

0.00% of all spending

Total Claims

1,307

Providers

3

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for 11424? Based on 3 providers billing this code nationally.

Median

$80.91

Average

$77.64

Std Dev

$74.60

Max

$150.55

Percentile Distribution (Cost per Claim)

p10
$17.36
p25
$41.19
Median
$80.91
p75
$115.73
p90
$136.62
p95
$143.59
p99
$149.16

50% of providers bill between $41.19 and $115.73 per claim for this code.

90% bill between $17.36 and $136.62.

Top 1% bill above $149.16.

About This Procedure

HCPCS code 11424 was billed by 3 providers across 1,307 claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 1,265 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.91

Providers Billing

3

National Spending

$72K

Avg/Median Ratio

0.96×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.