The rate at which GPs exclude patients from QOF submissions was unchanged at 5.4%, according to a report from the NHS Information Centre.
Exception rate for clinical indicators varied from 0.6% to 40.3% between practices.
Just 1% of practices had an overall exception reporting rates in clinical indicators higher than 15% in 2010/11, down from 1.8% in previous years.
One in 20 practices - 4.9% - had rates higher than 10%.
GPs exception reported 14.8% of heart failure patients, the most frequently reported clinical indicator in 2010/11. In particular, Heart Failure 4 was most frequently reported, with almost a third (32.8%) of patients excluded.
Exception reporting had been falling since 2006/7, when it reached 5.83%. In successive years rates fell to 5.26% in 2007/8 and 4.87% in 2008/9, but has since plateaued at 5.4%.