#2492 of 11K

L3222

HCPCS Procedure Code

HCPCS code L3222 is the #2,492 most-billed Medicaid procedure code, with $5.4M in payments across 65K claims from 2018–2024. The national median cost per claim is $85.13.

Total Paid

$5.4M

0.00% of all spending

Total Claims

65K

Providers

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for L3222? Based on 39 providers billing this code nationally.

Median

$85.13

Average

$82.06

Std Dev

$27.92

Max

$167.29

Percentile Distribution (Cost per Claim)

p10

$55.72

p25

$60.97

Median

$85.13

p75

$93.89

p90

$108.40

p95

$123.25

p99

$164.54

50% of providers bill between $60.97 and $93.89 per claim for this code.

90% bill between $55.72 and $108.40.

Top 1% bill above $164.54.

About This Procedure

HCPCS code L3222 was billed by 39 providers across 65K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.13

Providers Billing

National Spending

$5.4M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3222

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$1.8M	$89.77	1.1× median	Above Median
2	1669635173	$484K	$63.37	0.7× median	Below Median
3	1235203852	$395K	$87.61	1.0× median	Above Median
4	1275170938	$367K	$59.37	0.7× median	Below Median
5	1003247297	$331K	$167.29	2.0× median	Top 1%
6	1013367697	$331K	$97.03	1.1× median	Above 75th
7	1003990664	$257K	$74.16	0.9× median	Below Median
8	1386660751	$206K	$88.98	1.0× median	Above Median
9	1093999039	$175K	$119.16	1.4× median	Top 10%
10	1437768223	$169K	$56.73	0.7× median	Below Median
11	1629089016	$138K	$75.58	0.9× median	Below Median
12	1891855342	$128K	$93.57	1.1× median	Above Median
13	1770125627	$104K	$79.38	0.9× median	Below Median
14	1518423508	$93K	$71.58	0.8× median	Below Median
15	1477910610	$63K	$93.74	1.1× median	Above Median
16	1295862019	$54K	$46.94	0.6× median	Below Median
17	1326125246	$54K	$92.73	1.1× median	Above Median
18	1265565758	$30K	$94.87	1.1× median	Above 75th
19	1265544761	$28K	$88.03	1.0× median	Above Median
20	1215304878	$23K	$62.34	0.7× median	Below Median

Showing top 20 of 39 providers billing this code

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L3216$24.9M L3215$17.0M L3221$16.6M L3219$13.6M L3217$9.2M

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