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#7160 of 11K

A6011

HCPCS Procedure Code

HCPCS code A6011 is the #7,160 most-billed Medicaid procedure code, with $26K in payments across 1K claims from 2018–2024. The national median cost per claim is $22.58.

Total Paid

$26K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for A6011? Based on 2 providers billing this code nationally.

Median

$22.58

Average

$22.58

Std Dev

$6.97

Max

$27.51

Percentile Distribution (Cost per Claim)

p10
$18.64
p25
$20.12
Median
$22.58
p75
$25.04
p90
$26.52
p95
$27.01
p99
$27.41

50% of providers bill between $20.12 and $25.04 per claim for this code.

90% bill between $18.64 and $26.52.

Top 1% bill above $27.41.

About This Procedure

HCPCS code A6011 was billed by 2 providers across 1K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.58

Providers Billing

2

National Spending

$26K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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