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#4229 of 11K

L2116

HCPCS Procedure Code

HCPCS code L2116 is the #4,229 most-billed Medicaid procedure code, with $729K in payments across 2,555 claims from 2018–2024. The national median cost per claim is $316.20.

Total Paid

$729K

0.00% of all spending

Total Claims

2,555

Providers

8

Avg Cost/Claim

$285

National Cost Distribution

How much do providers bill per claim for L2116? Based on 8 providers billing this code nationally.

Median

$316.20

Average

$322.98

Std Dev

$111.15

Max

$550.87

Percentile Distribution (Cost per Claim)

p10
$205.49
p25
$266.65
Median
$316.20
p75
$352.98
p90
$417.85
p95
$484.36
p99
$537.56

50% of providers bill between $266.65 and $352.98 per claim for this code.

90% bill between $205.49 and $417.85.

Top 1% bill above $537.56.

About This Procedure

HCPCS code L2116 was billed by 8 providers across 2,555 claims, totaling $729K in Medicaid payments from 2018–2024. This code was used for 2,509 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$316.20

Providers Billing

8

National Spending

$729K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2116

#ProviderTotal Paid
11508195066$255K
21629010400$180K
3Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$148K
4Integra Partners Llc

Troy, MI · Orthotic Fitter

$73K
51144200445$26K
61194745307$19K
71548353774$17K
81669635173$10K

Showing top 8 of 8 providers billing this code

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