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#5303 of 11K

L3265

HCPCS Procedure Code

HCPCS code L3265 is the #5,303 most-billed Medicaid procedure code, with $234K in payments across 14K claims from 2018–2024. The national median cost per claim is $19.80. Costs vary widely — the 90th percentile is $47.68 per claim, 2.4× the median.

Total Paid

$234K

0.00% of all spending

Total Claims

14K

Providers

10

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for L3265? Based on 10 providers billing this code nationally.

Median

$19.80

Average

$26.29

Std Dev

$18.86

Max

$65.80

Percentile Distribution (Cost per Claim)

p10
$7.10
p25
$14.13
Median
$19.80
p75
$34.26
p90
$47.68
p95
$56.74
p99
$63.98

50% of providers bill between $14.13 and $34.26 per claim for this code.

90% bill between $7.10 and $47.68.

Top 1% bill above $63.98.

About This Procedure

HCPCS code L3265 was billed by 10 providers across 14K claims, totaling $234K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.80

Providers Billing

10

National Spending

$234K

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3265

#ProviderTotal Paid
1Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$109K
21790747244$89K
31043251341$24K
41942300918$6K
51538118278$4K
61689632374$1K
71972500940$472
81477636272$442
91609233543$279
101609830595$85

Showing top 10 of 10 providers billing this code

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