Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5603 of 11K

L8681

HCPCS Procedure Code

HCPCS code L8681 is the #5,603 most-billed Medicaid procedure code, with $169K in payments across 767 claims from 2018–2024. The national median cost per claim is $222.22.

Total Paid

$169K

0.00% of all spending

Total Claims

767

Providers

3

Avg Cost/Claim

$220

National Cost Distribution

How much do providers bill per claim for L8681? Based on 3 providers billing this code nationally.

Median

$222.22

Average

$221.66

Std Dev

$91.06

Max

$312.43

Percentile Distribution (Cost per Claim)

p10
$148.70
p25
$176.27
Median
$222.22
p75
$267.33
p90
$294.39
p95
$303.41
p99
$310.63

50% of providers bill between $176.27 and $267.33 per claim for this code.

90% bill between $148.70 and $294.39.

Top 1% bill above $310.63.

About This Procedure

HCPCS code L8681 was billed by 3 providers across 767 claims, totaling $169K in Medicaid payments from 2018–2024. This code was used for 608 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$222.22

Providers Billing

3

National Spending

$169K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.