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#4928 of 11K

L3913

HCPCS Procedure Code

HCPCS code L3913 is the #4,928 most-billed Medicaid procedure code, with $350K in payments across 4K claims from 2018–2024. The national median cost per claim is $138.71.

Total Paid

$350K

0.00% of all spending

Total Claims

4K

Providers

17

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for L3913? Based on 12 providers billing this code nationally.

Median

$138.71

Average

$138.06

Std Dev

$70.54

Max

$250.14

Percentile Distribution (Cost per Claim)

p10
$67.50
p25
$80.42
Median
$138.71
p75
$187.13
p90
$222.85
p95
$236.10
p99
$247.33

50% of providers bill between $80.42 and $187.13 per claim for this code.

90% bill between $67.50 and $222.85.

Top 1% bill above $247.33.

About This Procedure

HCPCS code L3913 was billed by 17 providers across 4K claims, totaling $350K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$138.71

Providers Billing

12

National Spending

$350K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3913

#ProviderTotal Paid
11639110547$167K
21639587504$68K
31699874248$50K
41265470645$19K
5University Of Rochester

Rochester, NY · General Acute Care Hospital

$18K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$6K
71447355771$6K
81285635235$5K
91013163492$4K
101174515878$3K
111780600825$2K
12Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$2K
13Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$0
14Hartford Hospital

Hartford, CT · General Acute Care Hospital

$0
15The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$0
16Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$0
171104120385$0

Showing top 17 of 17 providers billing this code