L3031
HCPCS Procedure Code
HCPCS code L3031 is the #5,858 most-billed Medicaid procedure code, with $128K in payments across 2K claims from 2018–2024. The national median cost per claim is $66.20. Costs vary widely — the 90th percentile is $146.94 per claim, 2.2× the median.
Total Paid
$128K
0.00% of all spending
Total Claims
2K
Providers
5
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for L3031? Based on 5 providers billing this code nationally.
Median
$66.20
Average
$73.36
Std Dev
$73.84
Max
$194.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.12 and $76.13 per claim for this code.
90% bill between $12.38 and $146.94.
Top 1% bill above $189.42.
About This Procedure
HCPCS code L3031 was billed by 5 providers across 2K claims, totaling $128K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$66.20
Providers Billing
5
National Spending
$128K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3031
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770096372 | $70K |
| 2 | Integra Partners Llc Troy, MI · Orthotic Fitter | $53K |
| 3 | 1528483245 | $2K |
| 4 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $1K |
| 5 | 1497057954 | $990 |
Showing top 5 of 5 providers billing this code