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#4684 of 11K

L0649

HCPCS Procedure Code

HCPCS code L0649 is the #4,684 most-billed Medicaid procedure code, with $452K in payments across 4,208 claims from 2018–2024. The national median cost per claim is $144.51.

Total Paid

$452K

0.00% of all spending

Total Claims

4,208

Providers

5

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for L0649? Based on 5 providers billing this code nationally.

Median

$144.51

Average

$136.04

Std Dev

$41.22

Max

$178.16

Percentile Distribution (Cost per Claim)

p10
$96.82
p25
$141.38
Median
$144.51
p75
$149.06
p90
$166.52
p95
$172.34
p99
$177.00

50% of providers bill between $141.38 and $149.06 per claim for this code.

90% bill between $96.82 and $166.52.

Top 1% bill above $177.00.

About This Procedure

HCPCS code L0649 was billed by 5 providers across 4,208 claims, totaling $452K in Medicaid payments from 2018–2024. This code was used for 4,060 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.51

Providers Billing

5

National Spending

$452K

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0649

#ProviderTotal Paid
11043249196$140K
2Integra Partners Llc

Troy, MI · Orthotic Fitter

$138K
31538254461$116K
41639151103$40K
51912909086$17K

Showing top 5 of 5 providers billing this code