L0457
HCPCS Procedure Code
HCPCS code L0457 is the #4,576 most-billed Medicaid procedure code, with $507K in payments across 1K claims from 2018–2024. The national median cost per claim is $280.65. Costs vary widely — the 90th percentile is $646.72 per claim, 2.3× the median.
Total Paid
$507K
0.00% of all spending
Total Claims
1K
Providers
20
Avg Cost/Claim
$359
National Cost Distribution
How much do providers bill per claim for L0457? Based on 17 providers billing this code nationally.
Median
$280.65
Average
$341.39
Std Dev
$272.41
Max
$895.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $67.89 and $552.68 per claim for this code.
90% bill between $39.84 and $646.72.
Top 1% bill above $856.53.
About This Procedure
HCPCS code L0457 was billed by 20 providers across 1K claims, totaling $507K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$280.65
Providers Billing
17
National Spending
$507K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0457
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417273095 | $206K |
| 2 | 1376076463 | $79K |
| 3 | 1104357581 | $62K |
| 4 | 1285025973 | $56K |
| 5 | 1891787594 | $38K |
| 6 | 1154889608 | $17K |
| 7 | 1003117508 | $14K |
| 8 | 1336552140 | $8K |
| 9 | 1093246480 | $7K |
| 10 | 1962860528 | $5K |
| 11 | 1184716672 | $4K |
| 12 | 1336611870 | $3K |
| 13 | 1548815996 | $2K |
| 14 | 1902502867 | $2K |
| 15 | 1124644117 | $2K |
| 16 | 1386317733 | $746 |
| 17 | 1215702139 | $619 |
| 18 | 1407444318 | $0 |
| 19 | 1043033871 | $0 |
| 20 | 1992476576 | $0 |
Showing top 20 of 20 providers billing this code