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#7626 of 11K

L0454

HCPCS Procedure Code

HCPCS code L0454 is the #7,626 most-billed Medicaid procedure code, with $13K in payments across 52 claims from 2018–2024. The national median cost per claim is $262.32.

Total Paid

$13K

0.00% of all spending

Total Claims

52

Providers

4

Avg Cost/Claim

$251

National Cost Distribution

How much do providers bill per claim for L0454? Based on 4 providers billing this code nationally.

Median

$262.32

Average

$250.98

Std Dev

$38.83

Max

$280.70

Percentile Distribution (Cost per Claim)

p10
$212.34
p25
$233.02
Median
$262.32
p75
$280.28
p90
$280.53
p95
$280.62
p99
$280.68

50% of providers bill between $233.02 and $280.28 per claim for this code.

90% bill between $212.34 and $280.53.

Top 1% bill above $280.68.

About This Procedure

HCPCS code L0454 was billed by 4 providers across 52 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 51 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$262.32

Providers Billing

4

National Spending

$13K

Avg/Median Ratio

0.96×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.