L5972
HCPCS Procedure Code
HCPCS code L5972 is the #7,399 most-billed Medicaid procedure code, with $19K in payments across 111 claims from 2018–2024. The national median cost per claim is $159.10.
Total Paid
$19K
0.00% of all spending
Total Claims
111
Providers
6
Avg Cost/Claim
$171
National Cost Distribution
How much do providers bill per claim for L5972? Based on 6 providers billing this code nationally.
Median
$159.10
Average
$165.54
Std Dev
$60.74
Max
$263.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $117.55 and $192.88 per claim for this code.
90% bill between $108.00 and $229.52.
Top 1% bill above $259.86.
About This Procedure
HCPCS code L5972 was billed by 6 providers across 111 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 101 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$159.10
Providers Billing
6
National Spending
$19K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L5972
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427179753 | $8K |
| 2 | 1790787018 | $3K |
| 3 | 1164586103 | $2K |
| 4 | 1326048893 | $2K |
| 5 | 1285640979 | $2K |
| 6 | 1437196557 | $2K |
Showing top 6 of 6 providers billing this code