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#1559 of 11K

11720

HCPCS Procedure Code

HCPCS code 11720 is the #1,559 most-billed Medicaid procedure code, with $19.2M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $4.64. Costs vary widely — the 90th percentile is $14.65 per claim, 3.2× the median.

Total Paid

$19.2M

0.00% of all spending

Total Claims

3.3M

Providers

2K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 11720? Based on 2K providers billing this code nationally.

Median

$4.64

Average

$7.31

Std Dev

$12.58

Max

$302.32

Percentile Distribution (Cost per Claim)

p10
$0.81
p25
$2.26
Median
$4.64
p75
$8.39
p90
$14.65
p95
$19.88
p99
$57.48

50% of providers bill between $2.26 and $8.39 per claim for this code.

90% bill between $0.81 and $14.65.

Top 1% bill above $57.48.

About This Procedure

HCPCS code 11720 was billed by 2K providers across 3.3M claims, totaling $19.2M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.64

Providers Billing

2K

National Spending

$19.2M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 11720

#ProviderTotal Paid
11902872591$2.5M
21720037138$1.1M
31003066747$676K
41689613598$645K
51417251935$278K
61487654042$248K
71548685258$248K
81356390918$235K
91013953876$228K
101740227909$225K
111679504427$214K
121134151194$151K
131619958071$150K
141346337011$150K
151043339260$147K
161508272188$147K
171821248568$137K
181326138355$132K
19The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$130K
201063480218$121K

Showing top 20 of 2K providers billing this code