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#4260 of 11K

L0643

HCPCS Procedure Code

HCPCS code L0643 is the #4,260 most-billed Medicaid procedure code, with $706K in payments across 17K claims from 2018–2024. The national median cost per claim is $120.00.

Total Paid

$706K

0.00% of all spending

Total Claims

17K

Providers

6

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for L0643? Based on 4 providers billing this code nationally.

Median

$120.00

Average

$112.04

Std Dev

$62.36

Max

$179.45

Percentile Distribution (Cost per Claim)

p10
$54.53
p25
$93.26
Median
$120.00
p75
$138.77
p90
$163.18
p95
$171.31
p99
$177.82

50% of providers bill between $93.26 and $138.77 per claim for this code.

90% bill between $54.53 and $163.18.

Top 1% bill above $177.82.

About This Procedure

HCPCS code L0643 was billed by 6 providers across 17K claims, totaling $706K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$120.00

Providers Billing

4

National Spending

$706K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0643

#ProviderTotal Paid
11043249196$438K
21518932631$264K
31104834464$3K
41912955881$2K
51376056721$0
61891905170$0

Showing top 6 of 6 providers billing this code