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#7356 of 11K

L5649

HCPCS Procedure Code

HCPCS code L5649 is the #7,356 most-billed Medicaid procedure code, with $20K in payments across 25 claims from 2018–2024. The national median cost per claim is $791.78.

Total Paid

$20K

0.00% of all spending

Total Claims

25

Providers

2

Avg Cost/Claim

$790

National Cost Distribution

How much do providers bill per claim for L5649? Based on 2 providers billing this code nationally.

Median

$791.78

Average

$791.78

Std Dev

$53.22

Max

$829.42

Percentile Distribution (Cost per Claim)

p10
$761.68
p25
$772.97
Median
$791.78
p75
$810.60
p90
$821.89
p95
$825.65
p99
$828.66

50% of providers bill between $772.97 and $810.60 per claim for this code.

90% bill between $761.68 and $821.89.

Top 1% bill above $828.66.

About This Procedure

HCPCS code L5649 was billed by 2 providers across 25 claims, totaling $20K in Medicaid payments from 2018–2024. This code was used for 24 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$791.78

Providers Billing

2

National Spending

$20K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.