#3265 of 11K

L2795

HCPCS Procedure Code

HCPCS code L2795 is the #3,265 most-billed Medicaid procedure code, with $2.1M in payments across 54K claims from 2018–2024. The national median cost per claim is $41.13.

Total Paid

$2.1M

0.00% of all spending

Total Claims

54K

Providers

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for L2795? Based on 46 providers billing this code nationally.

Median

$41.13

Average

$42.32

Std Dev

$32.37

Max

$221.60

Percentile Distribution (Cost per Claim)

p10

$12.94

p25

$28.81

Median

$41.13

p75

$49.14

p90

$62.33

p95

$69.43

p99

$157.21

50% of providers bill between $28.81 and $49.14 per claim for this code.

90% bill between $12.94 and $62.33.

Top 1% bill above $157.21.

About This Procedure

HCPCS code L2795 was billed by 46 providers across 54K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.13

Providers Billing

National Spending

$2.1M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2795

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$1.3M	$40.41	1.0× median	Below Median
2	1790747244	$202K	$49.79	1.2× median	Above 75th
3	1891787594	$104K	$35.75	0.9× median	Below Median
4	1346236635	$59K	$32.37	0.8× median	Below Median
5	1912909086	$57K	$26.33	0.6× median	Below Median
6	1134241961	$53K	$56.25	1.4× median	Above 75th
7	1669417531	$53K	$32.98	0.8× median	Below Median
8	1457354219	$48K	$47.43	1.2× median	Above Median
9	1609124668	$43K	$69.62	1.7× median	Top 10%
10	1154876670	$28K	$47.77	1.2× median	Above Median
11	1821436718	$24K	$67.40	1.6× median	Top 10%
12	1639150600	$19K	$19.70	0.5× median	Below Median
13	1710900857	$17K	$29.74	0.7× median	Below Median
14	1740251628	$12K	$29.66	0.7× median	Below Median
15	1265526396	$10K	$43.73	1.1× median	Above Median
16	1700119559	$10K	$42.63	1.0× median	Above Median
17	1205880291	$10K	$30.70	0.7× median	Below Median
18	1023296035	$10K	$28.02	0.7× median	Below Median
19	1740287085	$7K	$49.59	1.2× median	Above 75th
20	1003154352	$5K	$28.52	0.7× median	Below Median

Showing top 20 of 46 providers billing this code

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