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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679571152 | $2K |
| 2 | 1902051022 | $1K |
| 3 | 1801835970 | $255 |
| 4 | 1821245937 | $114 |
| 5 | 1073685988 | $76 |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $55 |
| 7 | 1124013230 | $45 |
| 8 | 1457397994 | $27 |
| 9 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $6 |
| 10 | 1659671808 | $5 |
| 11 | 1972537314 | $4 |
| 12 | 1689212045 | $4 |
| 13 | 1942276639 | $2 |
| 14 | 1598729808 | $2 |
| 15 | 1285853135 | $2 |
| 16 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $1 |
| 17 | 1639379159 | $1 |
| 18 | 1609348580 | $1 |
| 19 | 1528178787 | $1 |
| 20 | 1053337675 | $0 |
Showing top 20 of 227 providers billing this code