1AA11
HCPCS Procedure Code
HCPCS code 1AA11 is the #6,931 most-billed Medicaid procedure code, with $36K in payments across 22K claims from 2018–2024. The national median cost per claim is $5.63. Costs vary widely — the 90th percentile is $41.56 per claim, 7.4× the median.
Total Paid
$36K
0.00% of all spending
Total Claims
22K
Providers
84
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 1AA11? Based on 6 providers billing this code nationally.
Median
$5.63
Average
$16.35
Std Dev
$24.13
Max
$63.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.84 and $16.10 per claim for this code.
90% bill between $1.86 and $41.56.
Top 1% bill above $61.53.
About This Procedure
HCPCS code 1AA11 was billed by 84 providers across 22K claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.63
Providers Billing
6
National Spending
$36K
Avg/Median Ratio
2.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1AA11
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649258278 | $30K |
| 2 | 1275580151 | $3K |
| 3 | 1073569067 | $2K |
| 4 | 1225009442 | $1K |
| 5 | 1447344098 | $252 |
| 6 | 1265472286 | $196 |
| 7 | 1285189548 | $0 |
| 8 | 1689996357 | $0 |
| 9 | 1992741060 | $0 |
| 10 | 1396074027 | $0 |
| 11 | 1801033576 | $0 |
| 12 | 1124075098 | $0 |
| 13 | 1518980770 | $0 |
| 14 | 1558318436 | $0 |
| 15 | 1427041458 | $0 |
| 16 | 1710340575 | $0 |
| 17 | 1578615050 | $0 |
| 18 | 1467412296 | $0 |
| 19 | 1023568185 | $0 |
| 20 | 1225197072 | $0 |
Showing top 20 of 84 providers billing this code