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#5243 of 11K

L8020

HCPCS Procedure Code

HCPCS code L8020 is the #5,243 most-billed Medicaid procedure code, with $253K in payments across 3,310 claims from 2018–2024. The national median cost per claim is $44.63. Costs vary widely — the 90th percentile is $92.77 per claim, 2.1× the median.

Total Paid

$253K

0.00% of all spending

Total Claims

3,310

Providers

15

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for L8020? Based on 15 providers billing this code nationally.

Median

$44.63

Average

$49.40

Std Dev

$30.53

Max

$112.35

Percentile Distribution (Cost per Claim)

p10
$15.66
p25
$27.90
Median
$44.63
p75
$61.79
p90
$92.77
p95
$105.09
p99
$110.89

50% of providers bill between $27.90 and $61.79 per claim for this code.

90% bill between $15.66 and $92.77.

Top 1% bill above $110.89.

About This Procedure

HCPCS code L8020 was billed by 15 providers across 3,310 claims, totaling $253K in Medicaid payments from 2018–2024. This code was used for 2,537 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.63

Providers Billing

15

National Spending

$253K

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8020

#ProviderTotal Paid
11144269911$126K
21326370990$29K
31457803066$28K
41881698439$20K
51801926019$18K
61104804830$10K
71639114242$8K
81114210218$5K
91346265931$4K
101891932661$1K
111992985691$1K
121982022273$1K
131346248341$503
141841226511$366
151174639694$217

Showing top 15 of 15 providers billing this code

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