Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6612 of 11K

L5962

HCPCS Procedure Code

HCPCS code L5962 is the #6,612 most-billed Medicaid procedure code, with $53K in payments across 211 claims from 2018–2024. The national median cost per claim is $201.18. Costs vary widely — the 90th percentile is $483.81 per claim, 2.4× the median.

Total Paid

$53K

0.00% of all spending

Total Claims

211

Providers

4

Avg Cost/Claim

$249

National Cost Distribution

How much do providers bill per claim for L5962? Based on 4 providers billing this code nationally.

Median

$201.18

Average

$265.71

Std Dev

$219.63

Max

$568.87

Percentile Distribution (Cost per Claim)

p10
$99.23
p25
$110.67
Median
$201.18
p75
$356.22
p90
$483.81
p95
$526.34
p99
$560.37

50% of providers bill between $110.67 and $356.22 per claim for this code.

90% bill between $99.23 and $483.81.

Top 1% bill above $560.37.

About This Procedure

HCPCS code L5962 was billed by 4 providers across 211 claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 173 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$201.18

Providers Billing

4

National Spending

$53K

Avg/Median Ratio

1.32×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures