#4179 of 11K

L8420

HCPCS Procedure Code

HCPCS code L8420 is the #4,179 most-billed Medicaid procedure code, with $780K in payments across 12K claims from 2018–2024. The national median cost per claim is $49.62. Costs vary widely — the 90th percentile is $119.21 per claim, 2.4× the median.

Total Paid

$780K

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for L8420? Based on 81 providers billing this code nationally.

Median

$49.62

Average

$64.93

Std Dev

$46.75

Max

$289.78

Percentile Distribution (Cost per Claim)

p10

$27.66

p25

$34.14

Median

$49.62

p75

$76.65

p90

$119.21

p95

$140.18

p99

$225.59

50% of providers bill between $34.14 and $76.65 per claim for this code.

90% bill between $27.66 and $119.21.

Top 1% bill above $225.59.

About This Procedure

HCPCS code L8420 was billed by 81 providers across 12K claims, totaling $780K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.62

Providers Billing

National Spending

$780K

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8420

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1427179753	$206K	$107.13	2.2× median	Above 75th
2	1003980988	$54K	$140.18	2.8× median	Top 10%
3	1326048893	$40K	$40.93	0.8× median	Below Median
4	Integra Partners Llc Troy, MI · Orthotic Fitter	$38K	$71.27	1.4× median	Above Median
5	1730141110	$31K	$65.37	1.3× median	Above Median
6	1184607335	$27K	$41.54	0.8× median	Below Median
7	1174573307	$26K	$63.35	1.3× median	Above Median
8	1417692369	$26K	$289.78	5.8× median	Top 1%
9	1205900172	$23K	$58.34	1.2× median	Above Median
10	1982615712	$20K	$50.93	1.0× median	Above Median
11	1578560447	$18K	$209.54	4.2× median	Top 10%
12	1164586103	$17K	$56.16	1.1× median	Above Median
13	1679570238	$16K	$50.10	1.0× median	Above Median
14	1902801996	$15K	$81.32	1.6× median	Above 75th
15	1114092970	$14K	$109.68	2.2× median	Above 75th
16	1598743320	$12K	$66.38	1.3× median	Above Median
17	1134129166	$12K	$28.15	0.6× median	Below Median
18	1528060662	$11K	$33.12	0.7× median	Below Median
19	1417021304	$11K	$29.17	0.6× median	Below Median
20	1548482128	$10K	$31.05	0.6× median	Below Median

Showing top 20 of 81 providers billing this code

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