11721
HCPCS Procedure Code
HCPCS code 11721 is the #649 most-billed Medicaid procedure code, with $115.0M in payments across 11.5M claims from 2018–2024. The national median cost per claim is $8.56. Costs vary widely — the 90th percentile is $22.57 per claim, 2.6× the median.
Total Paid
$115.0M
0.01% of all spending
Total Claims
11.5M
Providers
7K
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 11721? Based on 7K providers billing this code nationally.
Median
$8.56
Average
$11.50
Std Dev
$14.52
Max
$363.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.41 and $14.26 per claim for this code.
90% bill between $1.72 and $22.57.
Top 1% bill above $63.50.
About This Procedure
HCPCS code 11721 was billed by 7K providers across 11.5M claims, totaling $115.0M in Medicaid payments from 2018–2024. This code was used for 10.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.56
Providers Billing
7K
National Spending
$115.0M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11721
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083962294 | $2.5M |
| 2 | 1689613598 | $1.9M |
| 3 | 1720037138 | $1.1M |
| 4 | 1730302019 | $949K |
| 5 | 1003066747 | $757K |
| 6 | 1689041055 | $742K |
| 7 | 1831495373 | $647K |
| 8 | 1548685258 | $640K |
| 9 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $600K |
| 10 | 1467845065 | $581K |
| 11 | 1518112499 | $580K |
| 12 | 1225085855 | $579K |
| 13 | 1487879938 | $550K |
| 14 | 1013013002 | $513K |
| 15 | 1497796353 | $512K |
| 16 | 1649212572 | $508K |
| 17 | 1033254255 | $496K |
| 18 | 1073536090 | $470K |
| 19 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $469K |
| 20 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $463K |
Showing top 20 of 7K providers billing this code