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

#4938 of 11K

L0456

HCPCS Procedure Code

HCPCS code L0456 is the #4,938 most-billed Medicaid procedure code, with $346K in payments across 728 claims from 2018–2024. The national median cost per claim is $286.60. Costs vary widely — the 90th percentile is $805.45 per claim, 2.8× the median.

Total Paid

$346K

0.00% of all spending

Total Claims

728

Providers

9

Avg Cost/Claim

$476

National Cost Distribution

How much do providers bill per claim for L0456? Based on 9 providers billing this code nationally.

Median

$286.60

Average

$372.25

Std Dev

$282.36

Max

$825.73

Percentile Distribution (Cost per Claim)

p10
$109.60
p25
$204.32
Median
$286.60
p75
$450.81
p90
$805.45
p95
$815.59
p99
$823.70

50% of providers bill between $204.32 and $450.81 per claim for this code.

90% bill between $109.60 and $805.45.

Top 1% bill above $823.70.

About This Procedure

HCPCS code L0456 was billed by 9 providers across 728 claims, totaling $346K in Medicaid payments from 2018–2024. This code was used for 701 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$286.60

Providers Billing

9

National Spending

$346K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0456

#ProviderTotal Paid
11942378328$123K
21114282779$114K
31144358839$54K
41770511552$36K
51487652749$11K
6Integra Partners Llc

Troy, MI · Orthotic Fitter

$3K
71427179753$3K
81083328736$2K
91851019988$337

Showing top 9 of 9 providers billing this code