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#7015 of 11K

L3999

HCPCS Procedure Code

HCPCS code L3999 is the #7,015 most-billed Medicaid procedure code, with $32K in payments across 1,158 claims from 2018–2024. The national median cost per claim is $12.42. Costs vary widely — the 90th percentile is $29.30 per claim, 2.4× the median.

Total Paid

$32K

0.00% of all spending

Total Claims

1,158

Providers

4

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for L3999? Based on 4 providers billing this code nationally.

Median

$12.42

Average

$14.60

Std Dev

$15.19

Max

$32.41

Percentile Distribution (Cost per Claim)

p10
$1.66
p25
$2.38
Median
$12.42
p75
$24.64
p90
$29.30
p95
$30.85
p99
$32.10

50% of providers bill between $2.38 and $24.64 per claim for this code.

90% bill between $1.66 and $29.30.

Top 1% bill above $32.10.

About This Procedure

HCPCS code L3999 was billed by 4 providers across 1,158 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 1,048 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.42

Providers Billing

4

National Spending

$32K

Avg/Median Ratio

1.18×

Normal distribution

Provider Coverage

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

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