L3216
HCPCS Procedure Code
HCPCS code L3216 is the #1,386 most-billed Medicaid procedure code, with $24.9M in payments across 475K claims from 2018–2024. The national median cost per claim is $56.74. Costs vary widely — the 90th percentile is $115.71 per claim, 2.0× the median.
Total Paid
$24.9M
0.00% of all spending
Total Claims
475K
Providers
206
Avg Cost/Claim
$52
National Cost Distribution
How much do providers bill per claim for L3216? Based on 206 providers billing this code nationally.
Median
$56.74
Average
$66.51
Std Dev
$34.08
Max
$213.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.61 and $84.16 per claim for this code.
90% bill between $33.35 and $115.71.
Top 1% bill above $179.07.
About This Procedure
HCPCS code L3216 was billed by 206 providers across 475K claims, totaling $24.9M in Medicaid payments from 2018–2024. This code was used for 268K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.74
Providers Billing
206
National Spending
$24.9M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3216
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $3.7M |
| 2 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $2.9M |
| 3 | 1386660751 | $1.1M |
| 4 | 1093716334 | $1.0M |
| 5 | 1669635173 | $1.0M |
| 6 | 1003990664 | $946K |
| 7 | 1447211636 | $944K |
| 8 | 1003247297 | $672K |
| 9 | 1700035169 | $633K |
| 10 | 1396920559 | $611K |
| 11 | 1700155017 | $575K |
| 12 | 1659365849 | $482K |
| 13 | 1366590812 | $433K |
| 14 | 1962683235 | $368K |
| 15 | 1235203852 | $360K |
| 16 | 1831174259 | $356K |
| 17 | 1245387943 | $346K |
| 18 | 1326125246 | $320K |
| 19 | 1386755411 | $307K |
| 20 | 1144618794 | $266K |
Showing top 20 of 206 providers billing this code