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#2844 of 11K

L0627

HCPCS Procedure Code

HCPCS code L0627 is the #2,844 most-billed Medicaid procedure code, with $3.4M in payments across 18K claims from 2018–2024. The national median cost per claim is $165.39.

Total Paid

$3.4M

0.00% of all spending

Total Claims

18K

Providers

76

Avg Cost/Claim

$189

National Cost Distribution

How much do providers bill per claim for L0627? Based on 76 providers billing this code nationally.

Median

$165.39

Average

$166.50

Std Dev

$84.94

Max

$336.56

Percentile Distribution (Cost per Claim)

p10
$60.09
p25
$100.35
Median
$165.39
p75
$232.60
p90
$272.80
p95
$305.89
p99
$318.44

50% of providers bill between $100.35 and $232.60 per claim for this code.

90% bill between $60.09 and $272.80.

Top 1% bill above $318.44.

About This Procedure

HCPCS code L0627 was billed by 76 providers across 18K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$165.39

Providers Billing

76

National Spending

$3.4M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0627

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.1M
21669635173$483K
31972550028$274K
41164586103$145K
51932187317$127K
61447297940$121K
71518197540$107K
81205125663$73K
91528060662$65K
101275511297$55K
111770511552$53K
121316116858$51K
131790093144$48K
141669428124$42K
151598860660$42K
161003058637$41K
171366697658$41K
181912909086$38K
191649215229$33K
201629089016$31K

Showing top 20 of 76 providers billing this code