L1851
HCPCS Procedure Code
HCPCS code L1851 is the #2,884 most-billed Medicaid procedure code, with $3.2M in payments across 28K claims from 2018–2024. The national median cost per claim is $40.53. Costs vary widely — the 90th percentile is $301.19 per claim, 7.4× the median.
Total Paid
$3.2M
0.00% of all spending
Total Claims
28K
Providers
136
Avg Cost/Claim
$113
National Cost Distribution
How much do providers bill per claim for L1851? Based on 115 providers billing this code nationally.
Median
$40.53
Average
$107.22
Std Dev
$178.69
Max
$1,041.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.58 and $72.98 per claim for this code.
90% bill between $11.35 and $301.19.
Top 1% bill above $706.63.
About This Procedure
HCPCS code L1851 was billed by 136 providers across 28K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.53
Providers Billing
115
National Spending
$3.2M
Avg/Median Ratio
2.65×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L1851
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508297854 | $891K |
| 2 | 1760887673 | $390K |
| 3 | 1326048893 | $268K |
| 4 | 1871531426 | $218K |
| 5 | 1770511552 | $187K |
| 6 | 1891787594 | $174K |
| 7 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $138K |
| 8 | 1528465028 | $100K |
| 9 | 1336552140 | $79K |
| 10 | Integra Partners Llc Troy, MI · Orthotic Fitter | $63K |
| 11 | 1184716672 | $33K |
| 12 | 1629248109 | $30K |
| 13 | 1922440684 | $28K |
| 14 | 1215458310 | $27K |
| 15 | 1033629910 | $26K |
| 16 | 1578052627 | $24K |
| 17 | 1609381375 | $19K |
| 18 | 1962932566 | $18K |
| 19 | 1508354846 | $16K |
| 20 | 1730607557 | $15K |
Showing top 20 of 136 providers billing this code