L5685
HCPCS Procedure Code
HCPCS code L5685 is the #5,652 most-billed Medicaid procedure code, with $160K in payments across 1,721 claims from 2018–2024. The national median cost per claim is $89.68.
Total Paid
$160K
0.00% of all spending
Total Claims
1,721
Providers
30
Avg Cost/Claim
$93
National Cost Distribution
How much do providers bill per claim for L5685? Based on 30 providers billing this code nationally.
Median
$89.68
Average
$90.44
Std Dev
$36.83
Max
$151.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $62.69 and $119.42 per claim for this code.
90% bill between $35.72 and $141.33.
Top 1% bill above $149.90.
About This Procedure
HCPCS code L5685 was billed by 30 providers across 1,721 claims, totaling $160K in Medicaid payments from 2018–2024. This code was used for 1,439 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.68
Providers Billing
30
National Spending
$160K
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L5685
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $21K |
| 2 | 1598743320 | $17K |
| 3 | 1003980988 | $14K |
| 4 | 1164586103 | $11K |
| 5 | 1427179753 | $9K |
| 6 | 1508804295 | $9K |
| 7 | 1417692369 | $9K |
| 8 | 1982615712 | $7K |
| 9 | 1295000909 | $7K |
| 10 | 1205900172 | $7K |
| 11 | 1124075833 | $6K |
| 12 | 1114092970 | $6K |
| 13 | 1679570238 | $4K |
| 14 | 1245301027 | $4K |
| 15 | 1184607335 | $4K |
| 16 | 1134127061 | $3K |
| 17 | 1386730554 | $3K |
| 18 | 1699227009 | $3K |
| 19 | 1285640979 | $3K |
| 20 | 1275539876 | $2K |
Showing top 20 of 30 providers billing this code