L4397
HCPCS Procedure Code
HCPCS code L4397 is the #2,749 most-billed Medicaid procedure code, with $3.9M in payments across 43K claims from 2018–2024. The national median cost per claim is $97.67.
Total Paid
$3.9M
0.00% of all spending
Total Claims
43K
Providers
69
Avg Cost/Claim
$90
National Cost Distribution
How much do providers bill per claim for L4397? Based on 69 providers billing this code nationally.
Median
$97.67
Average
$91.84
Std Dev
$38.82
Max
$197.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.56 and $119.71 per claim for this code.
90% bill between $47.26 and $129.75.
Top 1% bill above $167.38.
About This Procedure
HCPCS code L4397 was billed by 69 providers across 43K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.67
Providers Billing
69
National Spending
$3.9M
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L4397
| # | Provider | Total Paid |
|---|---|---|
| 1 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $2.0M |
| 2 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $371K |
| 3 | 1427179753 | $189K |
| 4 | 1326048893 | $188K |
| 5 | 1689628752 | $126K |
| 6 | 1891787594 | $123K |
| 7 | 1093901100 | $108K |
| 8 | 1306836465 | $95K |
| 9 | 1538194394 | $85K |
| 10 | 1679603724 | $77K |
| 11 | 1134331788 | $68K |
| 12 | 1205023033 | $47K |
| 13 | 1740690874 | $32K |
| 14 | 1205387461 | $31K |
| 15 | 1194801142 | $28K |
| 16 | 1871538207 | $27K |
| 17 | 1760564181 | $23K |
| 18 | 1568402576 | $21K |
| 19 | 1851337604 | $20K |
| 20 | 1386643856 | $19K |
Showing top 20 of 69 providers billing this code