L8699
Prosthetic implant, not otherwise classified
Prosthetic implant, not otherwise classified is the #513 most-billed Medicaid procedure code, with $172.3M in payments across 155K claims from 2018–2024. The national median cost per claim is $389.88. Costs vary widely — the 90th percentile is $3,398.79 per claim, 8.7× the median.
Total Paid
$172.3M
0.02% of all spending
Total Claims
155K
Providers
258
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for L8699? Based on 172 providers billing this code nationally.
Median
$389.88
Average
$1,180.86
Std Dev
$1,731.08
Max
$9,936.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.72 and $1,712.11 per claim for this code.
90% bill between $0.52 and $3,398.79.
Top 1% bill above $8,442.58.
About This Procedure
HCPCS code L8699 (Prosthetic implant, not otherwise classified) was billed by 258 providers across 155K claims, totaling $172.3M in Medicaid payments from 2018–2024. This code was used for 122K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$389.88
Providers Billing
172
National Spending
$172.3M
Avg/Median Ratio
3.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L8699
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578560447 | $20.4M |
| 2 | 1326360843 | $15.5M |
| 3 | 1558469403 | $12.0M |
| 4 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $11.7M |
| 5 | 1821072141 | $10.4M |
| 6 | 1699713800 | $7.8M |
| 7 | 1114256815 | $7.8M |
| 8 | 1104856095 | $7.6M |
| 9 | 1568415834 | $7.5M |
| 10 | 1538475348 | $7.1M |
| 11 | 1659389997 | $5.4M |
| 12 | 1780681189 | $4.5M |
| 13 | 1477584993 | $2.8M |
| 14 | 1487057766 | $2.7M |
| 15 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2.4M |
| 16 | 1467678409 | $2.2M |
| 17 | 1720031701 | $2.2M |
| 18 | 1881845022 | $2.2M |
| 19 | 1043354111 | $2.1M |
| 20 | 1881690949 | $2.0M |
Showing top 20 of 258 providers billing this code