L0635
HCPCS Procedure Code
HCPCS code L0635 is the #4,197 most-billed Medicaid procedure code, with $760K in payments across 1K claims from 2018–2024. The national median cost per claim is $521.27.
Total Paid
$760K
0.00% of all spending
Total Claims
1K
Providers
7
Avg Cost/Claim
$538
National Cost Distribution
How much do providers bill per claim for L0635? Based on 7 providers billing this code nationally.
Median
$521.27
Average
$482.54
Std Dev
$158.22
Max
$632.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $456.18 and $571.54 per claim for this code.
90% bill between $303.66 and $618.76.
Top 1% bill above $630.72.
About This Procedure
HCPCS code L0635 was billed by 7 providers across 1K claims, totaling $760K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$521.27
Providers Billing
7
National Spending
$760K
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0635
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164923298 | $521K |
| 2 | 1770096372 | $165K |
| 3 | 1124425871 | $30K |
| 4 | 1437196557 | $18K |
| 5 | 1134182207 | $11K |
| 6 | 1194350249 | $10K |
| 7 | 1952314577 | $6K |
Showing top 7 of 7 providers billing this code