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#5940 of 11K

11760

HCPCS Procedure Code

HCPCS code 11760 is the #5,940 most-billed Medicaid procedure code, with $116K in payments across 3K claims from 2018–2024. The national median cost per claim is $14.27. Costs vary widely — the 90th percentile is $62.11 per claim, 4.4× the median.

Total Paid

$116K

0.00% of all spending

Total Claims

3K

Providers

4

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for 11760? Based on 4 providers billing this code nationally.

Median

$14.27

Average

$29.06

Std Dev

$34.59

Max

$80.29

Percentile Distribution (Cost per Claim)

p10
$7.84
p25
$8.49
Median
$14.27
p75
$34.83
p90
$62.11
p95
$71.20
p99
$78.47

50% of providers bill between $8.49 and $34.83 per claim for this code.

90% bill between $7.84 and $62.11.

Top 1% bill above $78.47.

About This Procedure

HCPCS code 11760 was billed by 4 providers across 3K claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.27

Providers Billing

4

National Spending

$116K

Avg/Median Ratio

2.04×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.