L0172
HCPCS Procedure Code
HCPCS code L0172 is the #3,878 most-billed Medicaid procedure code, with $1.1M in payments across 18K claims from 2018–2024. The national median cost per claim is $59.19.
Total Paid
$1.1M
0.00% of all spending
Total Claims
18K
Providers
28
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for L0172? Based on 28 providers billing this code nationally.
Median
$59.19
Average
$57.43
Std Dev
$48.18
Max
$219.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.79 and $84.63 per claim for this code.
90% bill between $3.64 and $104.23.
Top 1% bill above $194.97.
About This Procedure
HCPCS code L0172 was billed by 28 providers across 18K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.19
Providers Billing
28
National Spending
$1.1M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0172
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891787594 | $245K |
| 2 | 1326048893 | $229K |
| 3 | University Of California Irvine Orange, CA · General Acute Care Hospital | $224K |
| 4 | 1043251341 | $167K |
| 5 | 1275784001 | $51K |
| 6 | 1245237643 | $30K |
| 7 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $23K |
| 8 | 1467826263 | $13K |
| 9 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $11K |
| 10 | 1699129601 | $9K |
| 11 | 1285635235 | $8K |
| 12 | 1639150600 | $8K |
| 13 | 1821147786 | $6K |
| 14 | 1861573685 | $5K |
| 15 | 1871038034 | $5K |
| 16 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $5K |
| 17 | 1144558172 | $5K |
| 18 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $4K |
| 19 | 1831101948 | $2K |
| 20 | 1154352391 | $2K |
Showing top 20 of 28 providers billing this code