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#4069 of 11K

L5679

HCPCS Procedure Code

HCPCS code L5679 is the #4,069 most-billed Medicaid procedure code, with $874K in payments across 1,944 claims from 2018–2024. The national median cost per claim is $427.04.

Total Paid

$874K

0.00% of all spending

Total Claims

1,944

Providers

32

Avg Cost/Claim

$450

National Cost Distribution

How much do providers bill per claim for L5679? Based on 32 providers billing this code nationally.

Median

$427.04

Average

$441.52

Std Dev

$165.57

Max

$834.87

Percentile Distribution (Cost per Claim)

p10
$231.12
p25
$317.72
Median
$427.04
p75
$559.32
p90
$670.65
p95
$700.04
p99
$800.56

50% of providers bill between $317.72 and $559.32 per claim for this code.

90% bill between $231.12 and $670.65.

Top 1% bill above $800.56.

About This Procedure

HCPCS code L5679 was billed by 32 providers across 1,944 claims, totaling $874K in Medicaid payments from 2018–2024. This code was used for 1,561 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$427.04

Providers Billing

32

National Spending

$874K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5679

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$117K
21003980988$95K
31083788137$72K
41295000909$66K
51508804295$61K
61548482128$55K
71982615712$46K
81477628246$40K
91205900172$35K
101245301027$34K
111124075833$30K
121598743320$27K
131679570238$23K
141730141110$19K
151134127061$17K
161417021304$15K
171477627347$14K
181114092970$12K
191699227009$12K
201326048893$11K

Showing top 20 of 32 providers billing this code