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#1146 of 11K

L1970

HCPCS Procedure Code

HCPCS code L1970 is the #1,146 most-billed Medicaid procedure code, with $37.1M in payments across 75K claims from 2018–2024. The national median cost per claim is $447.43.

Total Paid

$37.1M

0.00% of all spending

Total Claims

75K

Providers

188

Avg Cost/Claim

$495

National Cost Distribution

How much do providers bill per claim for L1970? Based on 187 providers billing this code nationally.

Median

$447.43

Average

$490.29

Std Dev

$192.95

Max

$1,540.19

Percentile Distribution (Cost per Claim)

p10
$296.64
p25
$375.29
Median
$447.43
p75
$569.62
p90
$721.47
p95
$850.30
p99
$1,039.41

50% of providers bill between $375.29 and $569.62 per claim for this code.

90% bill between $296.64 and $721.47.

Top 1% bill above $1,039.41.

About This Procedure

HCPCS code L1970 was billed by 188 providers across 75K claims, totaling $37.1M in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$447.43

Providers Billing

187

National Spending

$37.1M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1970

#ProviderTotal Paid
11437691714$2.6M
21487748059$1.9M
31619043932$1.2M
41558612135$1.2M
51003980988$1.1M
61235139528$1.1M
7Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.1M
81942378328$967K
91831261569$960K
101699850073$958K
111184607335$926K
121730141110$836K
131346228699$793K
141851337604$787K
151457310674$776K
161174573307$711K
171891707022$705K
181376544718$646K
191124322300$634K
201457358350$605K

Showing top 20 of 188 providers billing this code