#6039 of 11K

L8470

HCPCS Procedure Code

HCPCS code L8470 is the #6,039 most-billed Medicaid procedure code, with $102K in payments across 6,011 claims from 2018–2024. The national median cost per claim is $14.97.

Total Paid

$102K

0.00% of all spending

Total Claims

6,011

Providers

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for L8470? Based on 52 providers billing this code nationally.

Median

$14.97

Average

$19.82

Std Dev

$25.84

Max

$187.23

Percentile Distribution (Cost per Claim)

p10

$6.98

p25

$9.98

Median

$14.97

p75

$20.69

p90

$25.37

p95

$32.43

p99

$127.39

50% of providers bill between $9.98 and $20.69 per claim for this code.

90% bill between $6.98 and $25.37.

Top 1% bill above $127.39.

About This Procedure

HCPCS code L8470 was billed by 52 providers across 6,011 claims, totaling $102K in Medicaid payments from 2018–2024. This code was used for 5,187 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.97

Providers Billing

National Spending

$102K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8470

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1003980988	$11K	$30.07	2.0× median	Top 10%
2	1205900172	$10K	$24.03	1.6× median	Above 75th
3	1386730554	$7K	$69.89	4.7× median	Top 10%
4	1184607335	$6K	$13.31	0.9× median	Below Median
5	1164586103	$6K	$19.92	1.3× median	Above Median
6	1528060662	$6K	$15.75	1.1× median	Above Median
7	1326048893	$6K	$15.73	1.1× median	Above Median
8	1174573307	$5K	$20.28	1.4× median	Above Median
9	1417021304	$4K	$13.50	0.9× median	Below Median
10	1134129166	$4K	$10.07	0.7× median	Below Median
11	1902801996	$4K	$24.03	1.6× median	Above 75th
12	1033143029	$4K	$187.23	12.5× median	Top 1%
13	1679570238	$3K	$9.11	0.6× median	Below Median
14	Integra Partners Llc Troy, MI · Orthotic Fitter	$3K	$19.51	1.3× median	Above Median
15	1134127061	$2K	$11.47	0.8× median	Below Median
16	1982615712	$2K	$19.60	1.3× median	Above Median
17	1114092970	$2K	$21.32	1.4× median	Above 75th
18	1417692369	$1K	$15.73	1.1× median	Above Median
19	1790787018	$1K	$5.40	0.4× median	Below Median
20	1568509669	$1K	$18.76	1.3× median	Above Median

Showing top 20 of 52 providers billing this code

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