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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $109K |
| 2 | 1790747244 | $89K |
| 3 | 1043251341 | $24K |
| 4 | 1942300918 | $6K |
| 5 | 1538118278 | $4K |
| 6 | 1689632374 | $1K |
| 7 | 1972500940 | $472 |
| 8 | 1477636272 | $442 |
| 9 | 1609233543 | $279 |
| 10 | 1609830595 | $85 |
Showing top 10 of 10 providers billing this code