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#3226 of 11K

L0639

HCPCS Procedure Code

HCPCS code L0639 is the #3,226 most-billed Medicaid procedure code, with $2.2M in payments across 4K claims from 2018–2024. The national median cost per claim is $527.92.

Total Paid

$2.2M

0.00% of all spending

Total Claims

4K

Providers

17

Avg Cost/Claim

$495

National Cost Distribution

How much do providers bill per claim for L0639? Based on 16 providers billing this code nationally.

Median

$527.92

Average

$534.14

Std Dev

$289.16

Max

$1,206.06

Percentile Distribution (Cost per Claim)

p10
$146.15
p25
$439.73
Median
$527.92
p75
$715.31
p90
$770.65
p95
$909.86
p99
$1,146.82

50% of providers bill between $439.73 and $715.31 per claim for this code.

90% bill between $146.15 and $770.65.

Top 1% bill above $1,146.82.

About This Procedure

HCPCS code L0639 was billed by 17 providers across 4K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$527.92

Providers Billing

16

National Spending

$2.2M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0639

#ProviderTotal Paid
11346352358$898K
21740251628$525K
31154529584$217K
41982982492$157K
51528298775$74K
61356486187$72K
71578882718$60K
81912909086$51K
91881685618$35K
101467674556$34K
111326048893$27K
121053600114$12K
131417367608$9K
141174529937$6K
151164142808$1K
161073138699$247
171265044150$0

Showing top 17 of 17 providers billing this code