#3865 of 11K

L2220

HCPCS Procedure Code

HCPCS code L2220 is the #3,865 most-billed Medicaid procedure code, with $1.1M in payments across 12K claims from 2018–2024. The national median cost per claim is $79.20.

Total Paid

$1.1M

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for L2220? Based on 41 providers billing this code nationally.

Median

$79.20

Average

$83.41

Std Dev

$43.80

Max

$308.16

Percentile Distribution (Cost per Claim)

p10

$49.48

p25

$60.56

Median

$79.20

p75

$90.87

p90

$116.71

p95

$127.37

p99

$244.95

50% of providers bill between $60.56 and $90.87 per claim for this code.

90% bill between $49.48 and $116.71.

Top 1% bill above $244.95.

About This Procedure

HCPCS code L2220 was billed by 42 providers across 12K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 7,066 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.20

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1437691714	$276K	$95.11	1.2× median	Above 75th
2	1487748059	$249K	$84.54	1.1× median	Above Median
3	1003980988	$117K	$88.17	1.1× median	Above Median
4	1376544718	$94K	$116.71	1.5× median	Above 75th
5	1124322300	$56K	$127.37	1.6× median	Top 10%
6	1164586103	$31K	$77.19	1.0× median	Below Median
7	1780663062	$24K	$96.82	1.2× median	Above 75th
8	1891707022	$20K	$85.64	1.1× median	Above Median
9	1306840392	$19K	$87.11	1.1× median	Above Median
10	1912046012	$18K	$85.13	1.1× median	Above Median
11	1194953935	$14K	$80.28	1.0× median	Above Median
12	1427179753	$13K	$96.79	1.2× median	Above 75th
13	1598859282	$12K	$55.70	0.7× median	Below Median
14	Integra Partners Llc Troy, MI · Orthotic Fitter	$12K	$73.91	0.9× median	Below Median
15	1952798373	$12K	$85.27	1.1× median	Above Median
16	1699850073	$11K	$66.22	0.8× median	Below Median
17	1376664912	$10K	$308.16	3.9× median	Top 1%
18	1528060662	$10K	$75.27	1.0× median	Below Median
19	1891902524	$10K	$120.39	1.5× median	Top 10%
20	1104856806	$9K	$60.56	0.8× median	Below Median

Showing top 20 of 42 providers billing this code

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