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#5335 of 11K

L0630

HCPCS Procedure Code

HCPCS code L0630 is the #5,335 most-billed Medicaid procedure code, with $226K in payments across 2K claims from 2018–2024. The national median cost per claim is $123.09.

Total Paid

$226K

0.00% of all spending

Total Claims

2K

Providers

12

Avg Cost/Claim

$96

National Cost Distribution

How much do providers bill per claim for L0630? Based on 11 providers billing this code nationally.

Median

$123.09

Average

$113.64

Std Dev

$31.93

Max

$154.90

Percentile Distribution (Cost per Claim)

p10
$67.53
p25
$103.88
Median
$123.09
p75
$136.61
p90
$139.98
p95
$147.44
p99
$153.41

50% of providers bill between $103.88 and $136.61 per claim for this code.

90% bill between $67.53 and $139.98.

Top 1% bill above $153.41.

About This Procedure

HCPCS code L0630 was billed by 12 providers across 2K claims, totaling $226K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$123.09

Providers Billing

11

National Spending

$226K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0630

#ProviderTotal Paid
11083611867$73K
21104828342$52K
3The Health And Hospital Corporation Of Marion County

Indianapolis, IN · Psychiatric Unit

$35K
41629146832$34K
51528506821$14K
61891354197$10K
71558376913$3K
81669428124$2K
91740236819$2K
101033363072$1K
111346237146$587
121568589802$0

Showing top 12 of 12 providers billing this code