11980
HCPCS Procedure Code
HCPCS code 11980 is the #6,601 most-billed Medicaid procedure code, with $53K in payments across 944 claims from 2018–2024. The national median cost per claim is $184.45.
Total Paid
$53K
0.00% of all spending
Total Claims
944
Providers
3
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 11980? Based on 2 providers billing this code nationally.
Median
$184.45
Average
$184.45
Std Dev
$186.00
Max
$315.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $118.69 and $250.21 per claim for this code.
90% bill between $79.23 and $289.67.
Top 1% bill above $313.34.
About This Procedure
HCPCS code 11980 was billed by 3 providers across 944 claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 902 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$184.45
Providers Billing
2
National Spending
$53K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.