#2344 of 11K

L1852

HCPCS Procedure Code

HCPCS code L1852 is the #2,344 most-billed Medicaid procedure code, with $6.5M in payments across 18K claims from 2018–2024. The national median cost per claim is $97.81. Costs vary widely — the 90th percentile is $492.05 per claim, 5.0× the median.

Total Paid

$6.5M

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$356

National Cost Distribution

How much do providers bill per claim for L1852? Based on 33 providers billing this code nationally.

Median

$97.81

Average

$207.27

Std Dev

$197.52

Max

$662.61

Percentile Distribution (Cost per Claim)

p10

$33.85

p25

$47.61

Median

$97.81

p75

$376.66

p90

$492.05

p95

$546.52

p99

$645.28

50% of providers bill between $47.61 and $376.66 per claim for this code.

90% bill between $33.85 and $492.05.

Top 1% bill above $645.28.

About This Procedure

HCPCS code L1852 was billed by 41 providers across 18K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$97.81

Providers Billing

National Spending

$6.5M

Avg/Median Ratio

2.12×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L1852

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$4.1M	$384.34	3.9× median	Above 75th
2	1326048893	$824K	$505.23	5.2× median	Top 10%
3	1891787594	$701K	$371.43	3.8× median	Above Median
4	1306836465	$366K	$449.59	4.6× median	Above 75th
5	1457354219	$85K	$662.61	6.8× median	Top 1%
6	1942238514	$82K	$376.66	3.9× median	Above Median
7	1629235437	$73K	$502.67	5.1× median	Top 10%
8	1346236635	$70K	$372.39	3.8× median	Above Median
9	1356372809	$50K	$396.82	4.1× median	Above 75th
10	1891761615	$47K	$86.63	0.9× median	Below Median
11	1740251628	$34K	$408.87	4.2× median	Above 75th
12	1790747244	$23K	$275.62	2.8× median	Above Median
13	1669060703	$10K	$46.23	0.5× median	Below Median
14	1407521768	$10K	$33.39	0.3× median	Below Median
15	1447553144	$10K	$608.45	6.2× median	Top 10%
16	1780350777	$10K	$121.09	1.2× median	Above Median
17	1841824802	$8K	$99.02	1.0× median	Above Median
18	1689398943	$8K	$60.77	0.6× median	Below Median
19	1720765399	$6K	$35.71	0.4× median	Below Median
20	1851096838	$6K	$75.05	0.8× median	Below Median

Showing top 20 of 41 providers billing this code

Related Procedures

L1846$6.3M L1851$3.2M L1843$1.0M L1845$361K L1844$131K

← All procedures Top providers →