L2397
HCPCS Procedure Code
HCPCS code L2397 is the #3,488 most-billed Medicaid procedure code, with $1.6M in payments across 59K claims from 2018–2024. The national median cost per claim is $9.37. Costs vary widely — the 90th percentile is $57.45 per claim, 6.1× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
59K
Providers
261
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for L2397? Based on 211 providers billing this code nationally.
Median
$9.37
Average
$20.59
Std Dev
$24.52
Max
$113.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.97 and $32.41 per claim for this code.
90% bill between $1.08 and $57.45.
Top 1% bill above $95.86.
About This Procedure
HCPCS code L2397 was billed by 261 providers across 59K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.37
Providers Billing
211
National Spending
$1.6M
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L2397
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770096372 | $145K |
| 2 | 1790747244 | $130K |
| 3 | 1396821583 | $122K |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $118K |
| 5 | 1336552140 | $101K |
| 6 | 1790098218 | $63K |
| 7 | 1598043077 | $60K |
| 8 | Integra Partners Llc Troy, MI · Orthotic Fitter | $48K |
| 9 | 1164586103 | $45K |
| 10 | 1285025973 | $44K |
| 11 | 1699002477 | $43K |
| 12 | 1457354219 | $43K |
| 13 | 1780837765 | $43K |
| 14 | 1235521030 | $36K |
| 15 | 1376883660 | $34K |
| 16 | 1326048893 | $29K |
| 17 | 1508996653 | $23K |
| 18 | 1841291200 | $22K |
| 19 | 1659458040 | $21K |
| 20 | 1295862019 | $19K |
Showing top 20 of 261 providers billing this code