#4078 of 11K

L5620

HCPCS Procedure Code

HCPCS code L5620 is the #4,078 most-billed Medicaid procedure code, with $868K in payments across 5,390 claims from 2018–2024. The national median cost per claim is $158.44.

Total Paid

$868K

0.00% of all spending

Total Claims

5,390

Providers

Avg Cost/Claim

$161

National Cost Distribution

How much do providers bill per claim for L5620? Based on 44 providers billing this code nationally.

Median

$158.44

Average

$191.87

Std Dev

$162.80

Max

$963.85

Percentile Distribution (Cost per Claim)

p10

$80.61

p25

$100.52

Median

$158.44

p75

$203.94

p90

$287.30

p95

$519.29

p99

$800.27

50% of providers bill between $100.52 and $203.94 per claim for this code.

90% bill between $80.61 and $287.30.

Top 1% bill above $800.27.

About This Procedure

HCPCS code L5620 was billed by 44 providers across 5,390 claims, totaling $868K in Medicaid payments from 2018–2024. This code was used for 4,672 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$158.44

Providers Billing

National Spending

$868K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5620

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$141K	$220.32	1.4× median	Above 75th
2	1427179753	$123K	$174.09	1.1× median	Above Median
3	1326048893	$69K	$148.27	0.9× median	Below Median
4	1184607335	$52K	$125.76	0.8× median	Below Median
5	1174573307	$36K	$234.16	1.5× median	Above 75th
6	1730141110	$36K	$158.28	1.0× median	Below Median
7	1134127061	$36K	$174.59	1.1× median	Above Median
8	1215134986	$31K	$131.25	0.8× median	Below Median
9	1164586103	$31K	$152.92	1.0× median	Below Median
10	1134129166	$30K	$120.76	0.8× median	Below Median
11	1003980988	$28K	$198.91	1.3× median	Above Median
12	1417692369	$27K	$583.44	3.7× median	Top 10%
13	1790787018	$27K	$89.44	0.6× median	Below Median
14	1417021304	$24K	$158.60	1.0× median	Above Median
15	1679570238	$19K	$208.53	1.3× median	Above 75th
16	1548482128	$16K	$100.72	0.6× median	Below Median
17	1104834464	$12K	$963.85	6.1× median	Top 1%
18	1780656413	$11K	$379.47	2.4× median	Top 10%
19	1598859282	$10K	$173.15	1.1× median	Above Median
20	1285640979	$9K	$63.01	0.4× median	Below Median

Showing top 20 of 44 providers billing this code

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