#3583 of 11K

L2755

HCPCS Procedure Code

HCPCS code L2755 is the #3,583 most-billed Medicaid procedure code, with $1.5M in payments across 20K claims from 2018–2024. The national median cost per claim is $84.81.

Total Paid

$1.5M

0.00% of all spending

Total Claims

20K

Providers

Avg Cost/Claim

$72

National Cost Distribution

How much do providers bill per claim for L2755? Based on 33 providers billing this code nationally.

Median

$84.81

Average

$96.25

Std Dev

$49.08

Max

$234.82

Percentile Distribution (Cost per Claim)

p10

$46.43

p25

$62.41

Median

$84.81

p75

$137.43

p90

$155.72

p95

$168.97

p99

$216.86

50% of providers bill between $62.41 and $137.43 per claim for this code.

90% bill between $46.43 and $155.72.

Top 1% bill above $216.86.

About This Procedure

HCPCS code L2755 was billed by 33 providers across 20K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$84.81

Providers Billing

National Spending

$1.5M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2755

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$422K	$73.95	0.9× median	Below Median
2	Integra Partners Llc Troy, MI · Orthotic Fitter	$322K	$53.52	0.6× median	Below Median
3	1003980988	$190K	$120.68	1.4× median	Above Median
4	1619043932	$146K	$96.95	1.1× median	Above Median
5	1790747244	$111K	$70.29	0.8× median	Below Median
6	1669635173	$60K	$39.64	0.5× median	Below Median
7	1740287085	$46K	$138.80	1.6× median	Above 75th
8	1164586103	$36K	$52.33	0.6× median	Below Median
9	1760548499	$22K	$75.49	0.9× median	Below Median
10	1104228394	$21K	$159.83	1.9× median	Top 10%
11	1669683124	$14K	$62.41	0.7× median	Below Median
12	1194953935	$8K	$76.03	0.9× median	Below Median
13	1700972361	$8K	$178.70	2.1× median	Top 10%
14	1164890745	$8K	$84.99	1.0× median	Above Median
15	1457472144	$7K	$234.82	2.8× median	Top 1%
16	1821162975	$7K	$132.10	1.6× median	Above Median
17	1730141110	$6K	$55.34	0.7× median	Below Median
18	1376883660	$3K	$84.81	1.0× median	Below Median
19	1326048893	$3K	$105.76	1.2× median	Above Median
20	1942378328	$3K	$137.43	1.6× median	Above 75th

Showing top 20 of 33 providers billing this code

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