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#5652 of 11K

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)

p10
$35.72
p25
$62.69
Median
$89.68
p75
$119.42
p90
$141.33
p95
$146.57
p99
$149.90

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

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$21K
21598743320$17K
31003980988$14K
41164586103$11K
51427179753$9K
61508804295$9K
71417692369$9K
81982615712$7K
91295000909$7K
101205900172$7K
111124075833$6K
121114092970$6K
131679570238$4K
141245301027$4K
151184607335$4K
161134127061$3K
171386730554$3K
181699227009$3K
191285640979$3K
201275539876$2K

Showing top 20 of 30 providers billing this code