L5301
HCPCS Procedure Code
HCPCS code L5301 is the #4,104 most-billed Medicaid procedure code, with $843K in payments across 603 claims from 2018–2024. The national median cost per claim is $1,278.53.
Total Paid
$843K
0.00% of all spending
Total Claims
603
Providers
12
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for L5301? Based on 12 providers billing this code nationally.
Median
$1,278.53
Average
$1,276.62
Std Dev
$569.43
Max
$2,509.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $901.92 and $1,558.08 per claim for this code.
90% bill between $649.48 and $1,849.97.
Top 1% bill above $2,440.57.
About This Procedure
HCPCS code L5301 was billed by 12 providers across 603 claims, totaling $843K in Medicaid payments from 2018–2024. This code was used for 542 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,278.53
Providers Billing
12
National Spending
$843K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L5301
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427179753 | $263K |
| 2 | 1164586103 | $167K |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $164K |
| 4 | 1326048893 | $100K |
| 5 | 1417692369 | $50K |
| 6 | 1982615712 | $23K |
| 7 | 1699227009 | $19K |
| 8 | 1548482128 | $17K |
| 9 | 1184607335 | $16K |
| 10 | 1730141110 | $9K |
| 11 | 1417021304 | $8K |
| 12 | 1790787018 | $7K |
Showing top 12 of 12 providers billing this code