#4439 of 11K

L5629

HCPCS Procedure Code

HCPCS code L5629 is the #4,439 most-billed Medicaid procedure code, with $589K in payments across 4,244 claims from 2018–2024. The national median cost per claim is $115.47.

Total Paid

$589K

0.00% of all spending

Total Claims

4,244

Providers

Avg Cost/Claim

$139

National Cost Distribution

How much do providers bill per claim for L5629? Based on 37 providers billing this code nationally.

Median

$115.47

Average

$131.22

Std Dev

$70.26

Max

$349.06

Percentile Distribution (Cost per Claim)

p10

$61.34

p25

$76.83

Median

$115.47

p75

$172.04

p90

$208.99

p95

$238.10

p99

$320.85

50% of providers bill between $76.83 and $172.04 per claim for this code.

90% bill between $61.34 and $208.99.

Top 1% bill above $320.85.

About This Procedure

HCPCS code L5629 was billed by 38 providers across 4,244 claims, totaling $589K in Medicaid payments from 2018–2024. This code was used for 3,729 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$115.47

Providers Billing

National Spending

$589K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5629

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$110K	$223.49	1.9× median	Top 10%
2	1427179753	$95K	$156.49	1.4× median	Above Median
3	1326048893	$51K	$115.47	1.0× median	Above Median
4	1003980988	$42K	$179.02	1.6× median	Above 75th
5	1184607335	$36K	$101.79	0.9× median	Below Median
6	1417692369	$28K	$349.06	3.0× median	Top 1%
7	1174573307	$26K	$197.80	1.7× median	Above 75th
8	1134127061	$24K	$111.19	1.0× median	Below Median
9	1790787018	$21K	$89.71	0.8× median	Below Median
10	1417021304	$21K	$172.04	1.5× median	Above 75th
11	1164586103	$19K	$89.93	0.8× median	Below Median
12	1679570238	$15K	$199.33	1.7× median	Above 75th
13	1598859282	$13K	$229.95	2.0× median	Top 10%
14	1215134986	$12K	$76.83	0.7× median	Below Median
15	1548482128	$10K	$84.76	0.7× median	Below Median
16	1083788137	$8K	$164.25	1.4× median	Above Median
17	1386730554	$7K	$270.70	2.3× median	Top 10%
18	1629258991	$5K	$89.40	0.8× median	Below Median
19	1437196557	$5K	$134.50	1.2× median	Above Median
20	1881616720	$4K	$42.31	0.4× median	Below Median

Showing top 20 of 38 providers billing this code

Related Procedures

L5637$1.1M L5620$868K

← All procedures Top providers →