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#2176 of 11K

L1812

HCPCS Procedure Code

HCPCS code L1812 is the #2,176 most-billed Medicaid procedure code, with $8.2M in payments across 149K claims from 2018–2024. The national median cost per claim is $57.48.

Total Paid

$8.2M

0.00% of all spending

Total Claims

149K

Providers

150

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for L1812? Based on 147 providers billing this code nationally.

Median

$57.48

Average

$55.53

Std Dev

$22.80

Max

$117.85

Percentile Distribution (Cost per Claim)

p10
$25.37
p25
$43.34
Median
$57.48
p75
$69.30
p90
$82.32
p95
$87.93
p99
$113.74

50% of providers bill between $43.34 and $69.30 per claim for this code.

90% bill between $25.37 and $82.32.

Top 1% bill above $113.74.

About This Procedure

HCPCS code L1812 was billed by 150 providers across 149K claims, totaling $8.2M in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.48

Providers Billing

147

National Spending

$8.2M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1812

#ProviderTotal Paid
1Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$2.4M
21891787594$999K
31669417531$849K
41790747244$475K
51326048893$396K
61306836465$230K
71598714560$194K
81457354219$148K
91467826263$144K
101114987344$142K
111134241961$130K
121871038034$123K
131962413765$102K
141639150600$96K
151821317520$92K
161831289826$88K
171609124668$75K
181932187317$74K
191003154352$67K
201942238514$65K

Showing top 20 of 150 providers billing this code