L3221
HCPCS Procedure Code
HCPCS code L3221 is the #1,666 most-billed Medicaid procedure code, with $16.6M in payments across 281K claims from 2018–2024. The national median cost per claim is $60.92. Costs vary widely — the 90th percentile is $126.61 per claim, 2.1× the median.
Total Paid
$16.6M
0.00% of all spending
Total Claims
281K
Providers
149
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for L3221? Based on 149 providers billing this code nationally.
Median
$60.92
Average
$71.63
Std Dev
$33.79
Max
$171.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $49.50 and $90.60 per claim for this code.
90% bill between $38.93 and $126.61.
Top 1% bill above $161.41.
About This Procedure
HCPCS code L3221 was billed by 149 providers across 281K claims, totaling $16.6M in Medicaid payments from 2018–2024. This code was used for 156K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.92
Providers Billing
149
National Spending
$16.6M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3221
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $2.8M |
| 2 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $1.9M |
| 3 | 1093716334 | $1.0M |
| 4 | 1386660751 | $955K |
| 5 | 1700035169 | $669K |
| 6 | 1003990664 | $552K |
| 7 | 1669635173 | $552K |
| 8 | 1003247297 | $533K |
| 9 | 1447211636 | $505K |
| 10 | 1659365849 | $427K |
| 11 | 1366590812 | $351K |
| 12 | 1700155017 | $331K |
| 13 | 1396920559 | $322K |
| 14 | 1386087997 | $314K |
| 15 | 1245387943 | $308K |
| 16 | 1326125246 | $252K |
| 17 | 1962683235 | $251K |
| 18 | 1235203852 | $239K |
| 19 | 1831174259 | $207K |
| 20 | 1386755411 | $187K |
Showing top 20 of 149 providers billing this code