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#1647 of 11K

L3215

HCPCS Procedure Code

HCPCS code L3215 is the #1,647 most-billed Medicaid procedure code, with $17.0M in payments across 275K claims from 2018–2024. The national median cost per claim is $69.20.

Total Paid

$17.0M

0.00% of all spending

Total Claims

275K

Providers

59

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for L3215? Based on 58 providers billing this code nationally.

Median

$69.20

Average

$69.33

Std Dev

$23.75

Max

$141.87

Percentile Distribution (Cost per Claim)

p10
$44.40
p25
$56.90
Median
$69.20
p75
$78.17
p90
$94.66
p95
$108.41
p99
$136.93

50% of providers bill between $56.90 and $78.17 per claim for this code.

90% bill between $44.40 and $94.66.

Top 1% bill above $136.93.

About This Procedure

HCPCS code L3215 was billed by 59 providers across 275K claims, totaling $17.0M in Medicaid payments from 2018–2024. This code was used for 144K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.20

Providers Billing

58

National Spending

$17.0M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3215

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$7.6M
21669635173$2.0M
31235203852$1.0M
41669683124$1.0M
51033351077$692K
61093716334$629K
71811345101$488K
81982717310$396K
91326125246$359K
101003247297$328K
111477910610$273K
121386087997$250K
131265565758$227K
141831759497$171K
151386660751$171K
161508195066$139K
171518026772$130K
18New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$129K
191245387943$126K
201043302722$100K

Showing top 20 of 59 providers billing this code