#4036 of 11K

L0625

HCPCS Procedure Code

HCPCS code L0625 is the #4,036 most-billed Medicaid procedure code, with $910K in payments across 30K claims from 2018–2024. The national median cost per claim is $32.27.

Total Paid

$910K

0.00% of all spending

Total Claims

30K

Providers

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for L0625? Based on 41 providers billing this code nationally.

Median

$32.27

Average

$32.50

Std Dev

$9.14

Max

$49.01

Percentile Distribution (Cost per Claim)

p10

$21.54

p25

$27.60

Median

$32.27

p75

$38.43

p90

$43.34

p95

$44.58

p99

$47.83

50% of providers bill between $27.60 and $38.43 per claim for this code.

90% bill between $21.54 and $43.34.

Top 1% bill above $47.83.

About This Procedure

HCPCS code L0625 was billed by 42 providers across 30K claims, totaling $910K in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.27

Providers Billing

National Spending

$910K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0625

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1043251341	$222K	$25.55	0.8× median	Below Median
2	1275587685	$110K	$37.10	1.1× median	Above Median
3	1568442283	$98K	$38.43	1.2× median	Above 75th
4	1821090390	$61K	$27.55	0.9× median	Below Median
5	1336736115	$49K	$26.10	0.8× median	Below Median
6	1831101948	$41K	$31.12	1.0× median	Below Median
7	1174573307	$40K	$38.44	1.2× median	Above 75th
8	1962404178	$38K	$34.93	1.1× median	Above Median
9	1164586103	$30K	$27.33	0.8× median	Below Median
10	1518007913	$29K	$28.81	0.9× median	Below Median
11	1033212097	$28K	$37.91	1.2× median	Above Median
12	1417914128	$25K	$36.75	1.1× median	Above Median
13	1104391150	$20K	$46.05	1.4× median	Top 10%
14	1194745307	$20K	$35.39	1.1× median	Above Median
15	1245237643	$16K	$14.27	0.4× median	Below Median
16	1508895863	$13K	$37.80	1.2× median	Above Median
17	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$12K	$21.54	0.7× median	Below Median
18	1518985340	$9K	$32.09	1.0× median	Below Median
19	1164414413	$9K	$44.58	1.4× median	Top 10%
20	1992164883	$9K	$32.27	1.0× median	Above Median

Showing top 20 of 42 providers billing this code

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L0621$19.3M L0631$7.1M L0627$3.4M L0635$760K L0633$523K

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