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#4562 of 11K

L0628

HCPCS Procedure Code

HCPCS code L0628 is the #4,562 most-billed Medicaid procedure code, with $513K in payments across 10K claims from 2018–2024. The national median cost per claim is $50.20.

Total Paid

$513K

0.00% of all spending

Total Claims

10K

Providers

14

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for L0628? Based on 14 providers billing this code nationally.

Median

$50.20

Average

$50.43

Std Dev

$19.83

Max

$93.22

Percentile Distribution (Cost per Claim)

p10
$35.85
p25
$40.56
Median
$50.20
p75
$59.57
p90
$69.40
p95
$78.95
p99
$90.37

50% of providers bill between $40.56 and $59.57 per claim for this code.

90% bill between $35.85 and $69.40.

Top 1% bill above $90.37.

About This Procedure

HCPCS code L0628 was billed by 14 providers across 10K claims, totaling $513K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.20

Providers Billing

14

National Spending

$513K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0628

#ProviderTotal Paid
11275587685$217K
21972500940$94K
31447553144$79K
41992781587$33K
51417914128$27K
61932187655$23K
71265098719$13K
8Integra Partners Llc

Troy, MI · Orthotic Fitter

$12K
91891892535$4K
101043249196$3K
111700896784$2K
121346237146$2K
131164586103$2K
141700958196$757

Showing top 14 of 14 providers billing this code