L1904
HCPCS Procedure Code
HCPCS code L1904 is the #5,067 most-billed Medicaid procedure code, with $303K in payments across 1K claims from 2018–2024. The national median cost per claim is $314.48.
Total Paid
$303K
0.00% of all spending
Total Claims
1K
Providers
5
Avg Cost/Claim
$268
National Cost Distribution
How much do providers bill per claim for L1904? Based on 5 providers billing this code nationally.
Median
$314.48
Average
$337.87
Std Dev
$117.21
Max
$497.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $241.15 and $415.53 per claim for this code.
90% bill between $229.09 and $464.50.
Top 1% bill above $493.88.
About This Procedure
HCPCS code L1904 was billed by 5 providers across 1K claims, totaling $303K in Medicaid payments from 2018–2024. This code was used for 662 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$314.48
Providers Billing
5
National Spending
$303K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L1904
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093777070 | $182K |
| 2 | 1780663062 | $101K |
| 3 | 1780728550 | $7K |
| 4 | 1962438564 | $6K |
| 5 | 1821436718 | $6K |
Showing top 5 of 5 providers billing this code