Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6359 of 11K

L3540

HCPCS Procedure Code

HCPCS code L3540 is the #6,359 most-billed Medicaid procedure code, with $72K in payments across 1,410 claims from 2018–2024. The national median cost per claim is $47.49.

Total Paid

$72K

0.00% of all spending

Total Claims

1,410

Providers

4

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for L3540? Based on 4 providers billing this code nationally.

Median

$47.49

Average

$46.56

Std Dev

$9.90

Max

$56.21

Percentile Distribution (Cost per Claim)

p10
$37.05
p25
$40.05
Median
$47.49
p75
$54.01
p90
$55.33
p95
$55.77
p99
$56.13

50% of providers bill between $40.05 and $54.01 per claim for this code.

90% bill between $37.05 and $55.33.

Top 1% bill above $56.13.

About This Procedure

HCPCS code L3540 was billed by 4 providers across 1,410 claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 1,104 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.49

Providers Billing

4

National Spending

$72K

Avg/Median Ratio

0.98×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.