L5986
HCPCS Procedure Code
HCPCS code L5986 is the #6,290 most-billed Medicaid procedure code, with $77K in payments across 261 claims from 2018–2024. The national median cost per claim is $296.13.
Total Paid
$77K
0.00% of all spending
Total Claims
261
Providers
7
Avg Cost/Claim
$295
National Cost Distribution
How much do providers bill per claim for L5986? Based on 7 providers billing this code nationally.
Median
$296.13
Average
$279.26
Std Dev
$114.46
Max
$464.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $191.38 and $335.59 per claim for this code.
90% bill between $147.79 and $387.98.
Top 1% bill above $456.70.
About This Procedure
HCPCS code L5986 was billed by 7 providers across 261 claims, totaling $77K in Medicaid payments from 2018–2024. This code was used for 233 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$296.13
Providers Billing
7
National Spending
$77K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L5986
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $24K |
| 2 | 1730141110 | $17K |
| 3 | 1164586103 | $12K |
| 4 | 1427179753 | $12K |
| 5 | 1790787018 | $7K |
| 6 | 1679570238 | $3K |
| 7 | 1780656413 | $2K |
Showing top 7 of 7 providers billing this code