L0642
HCPCS Procedure Code
HCPCS code L0642 is the #2,142 most-billed Medicaid procedure code, with $8.5M in payments across 43K claims from 2018–2024. The national median cost per claim is $181.03.
Total Paid
$8.5M
0.00% of all spending
Total Claims
43K
Providers
78
Avg Cost/Claim
$196
National Cost Distribution
How much do providers bill per claim for L0642? Based on 77 providers billing this code nationally.
Median
$181.03
Average
$176.21
Std Dev
$82.95
Max
$362.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $139.44 and $231.27 per claim for this code.
90% bill between $41.54 and $283.78.
Top 1% bill above $340.00.
About This Procedure
HCPCS code L0642 was billed by 78 providers across 43K claims, totaling $8.5M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$181.03
Providers Billing
77
National Spending
$8.5M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0642
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $2.2M |
| 2 | 1538254461 | $993K |
| 3 | 1801300058 | $587K |
| 4 | 1659365849 | $554K |
| 5 | 1669635173 | $499K |
| 6 | 1497753214 | $444K |
| 7 | 1154876670 | $439K |
| 8 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $434K |
| 9 | 1548538200 | $430K |
| 10 | 1639151103 | $394K |
| 11 | 1053364695 | $323K |
| 12 | 1437348596 | $118K |
| 13 | 1699850073 | $108K |
| 14 | 1316356942 | $108K |
| 15 | 1881790004 | $105K |
| 16 | 1508966631 | $56K |
| 17 | 1467596585 | $45K |
| 18 | 1396138327 | $42K |
| 19 | 1326048893 | $40K |
| 20 | 1447297940 | $37K |
Showing top 20 of 78 providers billing this code