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#1124 of 11K

L1907

HCPCS Procedure Code

HCPCS code L1907 is the #1,124 most-billed Medicaid procedure code, with $39.3M in payments across 94K claims from 2018–2024. The national median cost per claim is $399.34.

Total Paid

$39.3M

0.00% of all spending

Total Claims

94K

Providers

157

Avg Cost/Claim

$419

National Cost Distribution

How much do providers bill per claim for L1907? Based on 157 providers billing this code nationally.

Median

$399.34

Average

$434.53

Std Dev

$164.42

Max

$994.95

Percentile Distribution (Cost per Claim)

p10
$260.07
p25
$324.08
Median
$399.34
p75
$506.35
p90
$677.75
p95
$735.25
p99
$933.91

50% of providers bill between $324.08 and $506.35 per claim for this code.

90% bill between $260.07 and $677.75.

Top 1% bill above $933.91.

About This Procedure

HCPCS code L1907 was billed by 157 providers across 94K claims, totaling $39.3M in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$399.34

Providers Billing

157

National Spending

$39.3M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1907

#ProviderTotal Paid
11851496756$2.6M
21437691714$2.4M
31487652749$2.0M
41497701338$1.6M
51942378328$1.6M
61548252851$1.3M
71104228394$1.3M
81578995155$1.2M
91669635173$969K
101588062764$962K
111942359781$856K
121851737142$825K
131457358350$814K
141780622688$774K
151013081991$734K
161619043932$702K
171922352780$617K
181184607335$607K
191801866173$591K
201386186674$529K

Showing top 20 of 157 providers billing this code