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#5636 of 11K

1170F

HCPCS Procedure Code

HCPCS code 1170F is the #5,636 most-billed Medicaid procedure code, with $164K in payments across 3.4M claims from 2018–2024. The national median cost per claim is $0.04. Costs vary widely — the 90th percentile is $0.86 per claim, 21.5× the median.

Total Paid

$164K

0.00% of all spending

Total Claims

3.4M

Providers

4K

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1170F? Based on 516 providers billing this code nationally.

Median

$0.04

Average

$0.60

Std Dev

$2.41

Max

$35.36

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.04
p75
$0.26
p90
$0.86
p95
$2.46
p99
$10.23

50% of providers bill between $0.00 and $0.26 per claim for this code.

90% bill between $0.00 and $0.86.

Top 1% bill above $10.23.

About This Procedure

HCPCS code 1170F was billed by 4K providers across 3.4M claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.04

Providers Billing

516

National Spending

$164K

Avg/Median Ratio

15.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1170F

#ProviderTotal Paid
11538441761$32K
21053679787$10K
31932399466$8K
41477754539$7K
51245385095$6K
61043482649$5K
71467439463$5K
81679672562$4K
91245413905$4K
101497969091$4K
111972877017$3K
121679510598$3K
131093253890$3K
141902977705$3K
151285748285$3K
161720196702$2K
171568648665$2K
181235316563$2K
19Marillac Clinic Inc.

Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC)

$2K
201932214657$2K

Showing top 20 of 4K providers billing this code

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