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#4697 of 11K

L1690

HCPCS Procedure Code

HCPCS code L1690 is the #4,697 most-billed Medicaid procedure code, with $445K in payments across 906 claims from 2018–2024. The national median cost per claim is $195.15. Costs vary widely — the 90th percentile is $1,370.24 per claim, 7.0× the median.

Total Paid

$445K

0.00% of all spending

Total Claims

906

Providers

15

Avg Cost/Claim

$491

National Cost Distribution

How much do providers bill per claim for L1690? Based on 12 providers billing this code nationally.

Median

$195.15

Average

$400.30

Std Dev

$526.82

Max

$1,469.32

Percentile Distribution (Cost per Claim)

p10
$29.84
p25
$51.86
Median
$195.15
p75
$411.60
p90
$1,370.24
p95
$1,458.02
p99
$1,467.06

50% of providers bill between $51.86 and $411.60 per claim for this code.

90% bill between $29.84 and $1,370.24.

Top 1% bill above $1,467.06.

About This Procedure

HCPCS code L1690 was billed by 15 providers across 906 claims, totaling $445K in Medicaid payments from 2018–2024. This code was used for 870 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$195.15

Providers Billing

12

National Spending

$445K

Avg/Median Ratio

2.05×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L1690

#ProviderTotal Paid
11437691714$297K
21073890588$82K
31962822239$21K
41730700816$19K
51699234617$9K
61386317733$5K
71982257002$4K
81578131645$4K
91407412489$2K
101255820700$2K
111336611870$967
121255822615$756
131801442645$0
141043033871$0
151457184665$0

Showing top 15 of 15 providers billing this code

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