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#8283 of 11K

91311

HCPCS Procedure Code

HCPCS code 91311 is the #8,283 most-billed Medicaid procedure code, with $4K in payments across 20K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.42 per claim, 242.0× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

20K

Providers

227

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 91311? Based on 50 providers billing this code nationally.

Median

$0.01

Average

$1.05

Std Dev

$3.22

Max

$14.61

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.02
p90
$2.42
p95
$8.08
p99
$14.34

50% of providers bill between $0.00 and $0.02 per claim for this code.

90% bill between $0.00 and $2.42.

Top 1% bill above $14.34.

About This Procedure

HCPCS code 91311 was billed by 227 providers across 20K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

50

National Spending

$4K

Avg/Median Ratio

105.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 91311

#ProviderTotal Paid
11679571152$2K
21902051022$1K
31801835970$255
41821245937$114
51073685988$76
6Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$55
71124013230$45
81457397994$27
9The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$6
101659671808$5
111972537314$4
121689212045$4
131942276639$2
141598729808$2
151285853135$2
16Arkansas Department Of Health Immunizations

Little Rock, AR · Public Health or Welfare

$1
171639379159$1
181609348580$1
191528178787$1
201053337675$0

Showing top 20 of 227 providers billing this code