L3995
HCPCS Procedure Code
HCPCS code L3995 is the #4,304 most-billed Medicaid procedure code, with $680K in payments across 25K claims from 2018–2024. The national median cost per claim is $24.91.
Total Paid
$680K
0.00% of all spending
Total Claims
25K
Providers
30
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for L3995? Based on 30 providers billing this code nationally.
Median
$24.91
Average
$29.30
Std Dev
$14.05
Max
$60.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.95 and $38.08 per claim for this code.
90% bill between $14.48 and $47.64.
Top 1% bill above $60.27.
About This Procedure
HCPCS code L3995 was billed by 30 providers across 25K claims, totaling $680K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.91
Providers Billing
30
National Spending
$680K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3995
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699850073 | $275K |
| 2 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $204K |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $82K |
| 4 | 1790747244 | $44K |
| 5 | 1639587504 | $15K |
| 6 | 1720036809 | $12K |
| 7 | 1457354219 | $9K |
| 8 | 1205880291 | $6K |
| 9 | 1255791422 | $4K |
| 10 | 1174573307 | $3K |
| 11 | 1619952595 | $3K |
| 12 | 1669532248 | $2K |
| 13 | 1053440321 | $2K |
| 14 | 1326048893 | $2K |
| 15 | 1417273095 | $2K |
| 16 | 1013957620 | $2K |
| 17 | 1790093144 | $2K |
| 18 | 1730318072 | $1K |
| 19 | 1306952726 | $1K |
| 20 | 1306836465 | $1K |
Showing top 20 of 30 providers billing this code