L3225
HCPCS Procedure Code
HCPCS code L3225 is the #4,649 most-billed Medicaid procedure code, with $470K in payments across 7,958 claims from 2018–2024. The national median cost per claim is $43.57.
Total Paid
$470K
0.00% of all spending
Total Claims
7,958
Providers
11
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for L3225? Based on 11 providers billing this code nationally.
Median
$43.57
Average
$45.50
Std Dev
$29.95
Max
$106.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.33 and $62.74 per claim for this code.
90% bill between $16.75 and $72.66.
Top 1% bill above $103.43.
About This Procedure
HCPCS code L3225 was billed by 11 providers across 7,958 claims, totaling $470K in Medicaid payments from 2018–2024. This code was used for 5,227 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.57
Providers Billing
11
National Spending
$470K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3225
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437691714 | $354K |
| 2 | 1386186674 | $68K |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $14K |
| 4 | 1689116972 | $10K |
| 5 | 1679970529 | $8K |
| 6 | 1154955268 | $6K |
| 7 | 1427681964 | $5K |
| 8 | 1295286318 | $2K |
| 9 | 1376640219 | $1K |
| 10 | 1043615867 | $821 |
| 11 | 1417327065 | $239 |
Showing top 11 of 11 providers billing this code