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#4220 of 11K

L2640

HCPCS Procedure Code

HCPCS code L2640 is the #4,220 most-billed Medicaid procedure code, with $745K in payments across 2K claims from 2018–2024. The national median cost per claim is $230.59. Costs vary widely — the 90th percentile is $568.36 per claim, 2.5× the median.

Total Paid

$745K

0.00% of all spending

Total Claims

2K

Providers

5

Avg Cost/Claim

$444

National Cost Distribution

How much do providers bill per claim for L2640? Based on 5 providers billing this code nationally.

Median

$230.59

Average

$330.13

Std Dev

$241.40

Max

$754.86

Percentile Distribution (Cost per Claim)

p10
$184.20
p25
$208.70
Median
$230.59
p75
$288.61
p90
$568.36
p95
$661.61
p99
$736.21

50% of providers bill between $208.70 and $288.61 per claim for this code.

90% bill between $184.20 and $568.36.

Top 1% bill above $736.21.

About This Procedure

HCPCS code L2640 was billed by 5 providers across 2K claims, totaling $745K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$230.59

Providers Billing

5

National Spending

$745K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2640

#ProviderTotal Paid
11801550132$550K
21124783980$100K
31740606409$64K
41255741765$19K
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$11K

Showing top 5 of 5 providers billing this code

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