11442
HCPCS Procedure Code
HCPCS code 11442 is the #4,520 most-billed Medicaid procedure code, with $535K in payments across 12K claims from 2018–2024. The national median cost per claim is $79.10.
Total Paid
$535K
0.00% of all spending
Total Claims
12K
Providers
5
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 11442? Based on 5 providers billing this code nationally.
Median
$79.10
Average
$77.90
Std Dev
$34.46
Max
$117.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.87 and $105.83 per claim for this code.
90% bill between $43.32 and $113.00.
Top 1% bill above $117.29.
About This Procedure
HCPCS code 11442 was billed by 5 providers across 12K claims, totaling $535K in Medicaid payments from 2018–2024. This code was used for 8,811 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$79.10
Providers Billing
5
National Spending
$535K
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11442
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $524K |
| 2 | 1235671389 | $6K |
| 3 | 1073662946 | $3K |
| 4 | 1134349954 | $1K |
| 5 | 1063404259 | $1K |
Showing top 5 of 5 providers billing this code