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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043249196 | $438K |
| 2 | 1518932631 | $264K |
| 3 | 1104834464 | $3K |
| 4 | 1912955881 | $2K |
| 5 | 1376056721 | $0 |
| 6 | 1891905170 | $0 |
Showing top 6 of 6 providers billing this code