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#7495 of 11K

11603

HCPCS Procedure Code

HCPCS code 11603 is the #7,495 most-billed Medicaid procedure code, with $16K in payments across 206 claims from 2018–2024. The national median cost per claim is $63.04.

Total Paid

$16K

0.00% of all spending

Total Claims

206

Providers

2

Avg Cost/Claim

$79

National Cost Distribution

How much do providers bill per claim for 11603? Based on 2 providers billing this code nationally.

Median

$63.04

Average

$63.04

Std Dev

$39.89

Max

$91.24

Percentile Distribution (Cost per Claim)

p10
$40.47
p25
$48.93
Median
$63.04
p75
$77.14
p90
$85.60
p95
$88.42
p99
$90.68

50% of providers bill between $48.93 and $77.14 per claim for this code.

90% bill between $40.47 and $85.60.

Top 1% bill above $90.68.

About This Procedure

HCPCS code 11603 was billed by 2 providers across 206 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 175 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.04

Providers Billing

2

National Spending

$16K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.