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#4877 of 11K

L0455

HCPCS Procedure Code

HCPCS code L0455 is the #4,877 most-billed Medicaid procedure code, with $365K in payments across 1K claims from 2018–2024. The national median cost per claim is $270.93.

Total Paid

$365K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$341

National Cost Distribution

How much do providers bill per claim for L0455? Based on 2 providers billing this code nationally.

Median

$270.93

Average

$270.93

Std Dev

$103.74

Max

$344.28

Percentile Distribution (Cost per Claim)

p10
$212.25
p25
$234.26
Median
$270.93
p75
$307.61
p90
$329.61
p95
$336.95
p99
$342.82

50% of providers bill between $234.26 and $307.61 per claim for this code.

90% bill between $212.25 and $329.61.

Top 1% bill above $342.82.

About This Procedure

HCPCS code L0455 was billed by 2 providers across 1K claims, totaling $365K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$270.93

Providers Billing

2

National Spending

$365K

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.