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#4197 of 11K

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)

p10
$303.66
p25
$456.18
Median
$521.27
p75
$571.54
p90
$618.76
p95
$625.40
p99
$630.72

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

#ProviderTotal Paid
11164923298$521K
21770096372$165K
31124425871$30K
41437196557$18K
51134182207$11K
61194350249$10K
71952314577$6K

Showing top 7 of 7 providers billing this code