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#6181 of 11K

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)

p10
$1.06
p25
$2.86
Median
$4.74
p75
$10.10
p90
$17.94
p95
$19.91
p99
$25.42

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

#ProviderTotal Paid
11487654042$16K
21982883989$10K
31750390142$8K
41720134422$6K
51972597953$6K
61982630786$5K
71891899001$5K
81366651754$5K
9City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$4K
101457399222$3K
111275635658$2K
121356443337$2K
131992724488$2K
141891746533$2K
151649344979$2K
161902970940$1K
171609231158$1K
181477561553$809
191184959793$648
201720037138$513

Showing top 20 of 38 providers billing this code