11740
HCPCS Procedure Code
HCPCS code 11740 is the #6,181 most-billed Medicaid procedure code, with $87K in payments across 22K claims from 2018–2024. The national median cost per claim is $4.74. Costs vary widely — the 90th percentile is $17.94 per claim, 3.8× the median.
Total Paid
$87K
0.00% of all spending
Total Claims
22K
Providers
38
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 11740? Based on 35 providers billing this code nationally.
Median
$4.74
Average
$7.44
Std Dev
$6.79
Max
$26.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.86 and $10.10 per claim for this code.
90% bill between $1.06 and $17.94.
Top 1% bill above $25.42.
About This Procedure
HCPCS code 11740 was billed by 38 providers across 22K claims, totaling $87K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.74
Providers Billing
35
National Spending
$87K
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 11740
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487654042 | $16K |
| 2 | 1982883989 | $10K |
| 3 | 1750390142 | $8K |
| 4 | 1720134422 | $6K |
| 5 | 1972597953 | $6K |
| 6 | 1982630786 | $5K |
| 7 | 1891899001 | $5K |
| 8 | 1366651754 | $5K |
| 9 | City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care | $4K |
| 10 | 1457399222 | $3K |
| 11 | 1275635658 | $2K |
| 12 | 1356443337 | $2K |
| 13 | 1992724488 | $2K |
| 14 | 1891746533 | $2K |
| 15 | 1649344979 | $2K |
| 16 | 1902970940 | $1K |
| 17 | 1609231158 | $1K |
| 18 | 1477561553 | $809 |
| 19 | 1184959793 | $648 |
| 20 | 1720037138 | $513 |
Showing top 20 of 38 providers billing this code