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

#6198 of 11K

L4002

HCPCS Procedure Code

HCPCS code L4002 is the #6,198 most-billed Medicaid procedure code, with $84K in payments across 1,928 claims from 2018–2024. The national median cost per claim is $54.23.

Total Paid

$84K

0.00% of all spending

Total Claims

1,928

Providers

13

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for L4002? Based on 12 providers billing this code nationally.

Median

$54.23

Average

$59.75

Std Dev

$50.10

Max

$203.44

Percentile Distribution (Cost per Claim)

p10
$20.27
p25
$30.72
Median
$54.23
p75
$69.65
p90
$71.68
p95
$131.07
p99
$188.96

50% of providers bill between $30.72 and $69.65 per claim for this code.

90% bill between $20.27 and $71.68.

Top 1% bill above $188.96.

About This Procedure

HCPCS code L4002 was billed by 13 providers across 1,928 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 1,386 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.23

Providers Billing

12

National Spending

$84K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L4002

#ProviderTotal Paid
11760541700$49K
21487748059$13K
31265477871$5K
41376544718$5K
51871893644$3K
61245318278$3K
71851450894$2K
81881679629$1K
91942683073$862
101407332794$834
111265438477$657
121487663514$341
131972671683$0

Showing top 13 of 13 providers billing this code

Related Procedures