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#3878 of 11K

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)

p10
$3.64
p25
$18.79
Median
$59.19
p75
$84.63
p90
$104.23
p95
$122.80
p99
$194.97

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

#ProviderTotal Paid
11891787594$245K
21326048893$229K
3University Of California Irvine

Orange, CA · General Acute Care Hospital

$224K
41043251341$167K
51275784001$51K
61245237643$30K
7Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$23K
81467826263$13K
9Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$11K
101699129601$9K
111285635235$8K
121639150600$8K
131821147786$6K
141861573685$5K
151871038034$5K
16University Of Kentucky

Lexington, KY · General Acute Care Hospital

$5K
171144558172$5K
18Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$4K
191831101948$2K
201154352391$2K

Showing top 20 of 28 providers billing this code