L3649
HCPCS Procedure Code
HCPCS code L3649 is the #4,783 most-billed Medicaid procedure code, with $404K in payments across 5K claims from 2018–2024. The national median cost per claim is $29.99. Costs vary widely — the 90th percentile is $142.08 per claim, 4.7× the median.
Total Paid
$404K
0.00% of all spending
Total Claims
5K
Providers
5
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for L3649? Based on 5 providers billing this code nationally.
Median
$29.99
Average
$65.94
Std Dev
$68.77
Max
$170.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.78 and $98.79 per claim for this code.
90% bill between $12.43 and $142.08.
Top 1% bill above $168.06.
About This Procedure
HCPCS code L3649 was billed by 5 providers across 5K claims, totaling $404K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.99
Providers Billing
5
National Spending
$404K
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L3649
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134129166 | $254K |
| 2 | 1043356256 | $88K |
| 3 | 1447211636 | $58K |
| 4 | 1184607335 | $4K |
| 5 | 1912911710 | $370 |
Showing top 5 of 5 providers billing this code