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#6747 of 11K

L0626

HCPCS Procedure Code

HCPCS code L0626 is the #6,747 most-billed Medicaid procedure code, with $45K in payments across 1,672 claims from 2018–2024. The national median cost per claim is $46.20.

Total Paid

$45K

0.00% of all spending

Total Claims

1,672

Providers

11

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for L0626? Based on 9 providers billing this code nationally.

Median

$46.20

Average

$46.04

Std Dev

$13.91

Max

$67.25

Percentile Distribution (Cost per Claim)

p10
$35.12
p25
$40.22
Median
$46.20
p75
$54.37
p90
$60.28
p95
$63.76
p99
$66.55

50% of providers bill between $40.22 and $54.37 per claim for this code.

90% bill between $35.12 and $60.28.

Top 1% bill above $66.55.

About This Procedure

HCPCS code L0626 was billed by 11 providers across 1,672 claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 1,613 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.20

Providers Billing

9

National Spending

$45K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0626

#ProviderTotal Paid
11275587685$13K
21164855607$12K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$10K
41619988284$4K
51568442283$2K
61205991452$1K
71053364695$1K
81699779280$906
91942296033$647
10Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$0
111538300686$0

Showing top 11 of 11 providers billing this code