71111
HCPCS Procedure Code
HCPCS code 71111 is the #6,286 most-billed Medicaid procedure code, with $78K in payments across 4,327 claims from 2018–2024. The national median cost per claim is $13.22. Costs vary widely — the 90th percentile is $84.49 per claim, 6.4× the median.
Total Paid
$78K
0.00% of all spending
Total Claims
4,327
Providers
30
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 71111? Based on 30 providers billing this code nationally.
Median
$13.22
Average
$33.23
Std Dev
$38.23
Max
$156.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.20 and $42.47 per claim for this code.
90% bill between $8.84 and $84.49.
Top 1% bill above $146.67.
About This Procedure
HCPCS code 71111 was billed by 30 providers across 4,327 claims, totaling $78K in Medicaid payments from 2018–2024. This code was used for 4,119 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.22
Providers Billing
30
National Spending
$78K
Avg/Median Ratio
2.51×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 71111
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568825545 | $13K |
| 2 | Edward W Sparrow Hospital Association Lansing, MI · Rehabilitation, Substance Use Disorder Unit | $12K |
| 3 | 1508856535 | $11K |
| 4 | 1669425658 | $9K |
| 5 | 1740283324 | $5K |
| 6 | 1992701429 | $5K |
| 7 | 1679529978 | $5K |
| 8 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $2K |
| 9 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $2K |
| 10 | 1700865094 | $2K |
| 11 | 1699752923 | $1K |
| 12 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $1K |
| 13 | 1376719666 | $1K |
| 14 | 1447221742 | $1K |
| 15 | 1801861190 | $1K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $807 |
| 17 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $568 |
| 18 | 1104896190 | $541 |
| 19 | 1720037799 | $532 |
| 20 | 1598868655 | $420 |
Showing top 20 of 30 providers billing this code