L4361
HCPCS Procedure Code
HCPCS code L4361 is the #546 most-billed Medicaid procedure code, with $152.7M in payments across 947K claims from 2018–2024. The national median cost per claim is $161.24.
Total Paid
$152.7M
0.01% of all spending
Total Claims
947K
Providers
653
Avg Cost/Claim
$161
National Cost Distribution
How much do providers bill per claim for L4361? Based on 646 providers billing this code nationally.
Median
$161.24
Average
$159.35
Std Dev
$64.44
Max
$491.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $115.26 and $199.67 per claim for this code.
90% bill between $82.88 and $237.79.
Top 1% bill above $310.65.
About This Procedure
HCPCS code L4361 was billed by 653 providers across 947K claims, totaling $152.7M in Medicaid payments from 2018–2024. This code was used for 863K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$161.24
Providers Billing
646
National Spending
$152.7M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L4361
| # | Provider | Total Paid |
|---|---|---|
| 1 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $25.7M |
| 2 | 1891787594 | $14.3M |
| 3 | 1326048893 | $12.9M |
| 4 | 1306836465 | $7.0M |
| 5 | 1669417531 | $6.3M |
| 6 | 1790747244 | $3.7M |
| 7 | 1669532248 | $2.0M |
| 8 | 1457354219 | $2.0M |
| 9 | 1861573685 | $1.8M |
| 10 | 1700119559 | $1.8M |
| 11 | 1962413765 | $1.8M |
| 12 | 1710900857 | $1.7M |
| 13 | 1467826263 | $1.7M |
| 14 | 1285082610 | $1.7M |
| 15 | 1831289826 | $1.5M |
| 16 | 1053440321 | $1.3M |
| 17 | 1750582920 | $1.3M |
| 18 | 1871038034 | $1.3M |
| 19 | 1275784001 | $1.2M |
| 20 | 1447553144 | $1.2M |
Showing top 20 of 653 providers billing this code