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#8696 of 11K

11604

HCPCS Procedure Code

HCPCS code 11604 is the #8,696 most-billed Medicaid procedure code, with $2K in payments across 40 claims from 2018–2024. The national median cost per claim is $37.84.

Total Paid

$2K

0.00% of all spending

Total Claims

40

Providers

1

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 11604? Based on 1 providers billing this code nationally.

Median

$37.84

Average

$37.84

Std Dev

Max

$37.84

Percentile Distribution (Cost per Claim)

p10
$37.84
p25
$37.84
Median
$37.84
p75
$37.84
p90
$37.84
p95
$37.84
p99
$37.84

50% of providers bill between $37.84 and $37.84 per claim for this code.

90% bill between $37.84 and $37.84.

Top 1% bill above $37.84.

About This Procedure

HCPCS code 11604 was billed by 1 providers across 40 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 26 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.84

Providers Billing

1

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.