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#5820 of 11K

L5704

HCPCS Procedure Code

HCPCS code L5704 is the #5,820 most-billed Medicaid procedure code, with $133K in payments across 537 claims from 2018–2024. The national median cost per claim is $219.19. Costs vary widely — the 90th percentile is $477.30 per claim, 2.2× the median.

Total Paid

$133K

0.00% of all spending

Total Claims

537

Providers

11

Avg Cost/Claim

$248

National Cost Distribution

How much do providers bill per claim for L5704? Based on 11 providers billing this code nationally.

Median

$219.19

Average

$246.16

Std Dev

$150.97

Max

$537.00

Percentile Distribution (Cost per Claim)

p10
$105.88
p25
$136.90
Median
$219.19
p75
$310.81
p90
$477.30
p95
$507.15
p99
$531.03

50% of providers bill between $136.90 and $310.81 per claim for this code.

90% bill between $105.88 and $477.30.

Top 1% bill above $531.03.

About This Procedure

HCPCS code L5704 was billed by 11 providers across 537 claims, totaling $133K in Medicaid payments from 2018–2024. This code was used for 461 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$219.19

Providers Billing

11

National Spending

$133K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5704

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$56K
21164586103$27K
31417692369$11K
41629258991$10K
51881616720$9K
61386730554$6K
71417983099$5K
81437196557$3K
91841482460$3K
101285640979$2K
111790787018$2K

Showing top 11 of 11 providers billing this code

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