L0464
HCPCS Procedure Code
HCPCS code L0464 is the #4,059 most-billed Medicaid procedure code, with $883K in payments across 2K claims from 2018–2024. The national median cost per claim is $396.41.
Total Paid
$883K
0.00% of all spending
Total Claims
2K
Providers
12
Avg Cost/Claim
$386
National Cost Distribution
How much do providers bill per claim for L0464? Based on 12 providers billing this code nationally.
Median
$396.41
Average
$386.02
Std Dev
$250.80
Max
$773.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $216.57 and $546.88 per claim for this code.
90% bill between $57.70 and $693.50.
Top 1% bill above $766.09.
About This Procedure
HCPCS code L0464 was billed by 12 providers across 2K claims, totaling $883K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$396.41
Providers Billing
12
National Spending
$883K
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0464
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326048893 | $392K |
| 2 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $211K |
| 3 | 1669417531 | $92K |
| 4 | 1427179753 | $59K |
| 5 | 1891787594 | $52K |
| 6 | 1578609327 | $37K |
| 7 | 1033458658 | $13K |
| 8 | 1437196557 | $11K |
| 9 | 1376883660 | $7K |
| 10 | 1306849229 | $4K |
| 11 | 1902435803 | $3K |
| 12 | 1255668786 | $1K |
Showing top 12 of 12 providers billing this code