Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4948 of 11K

L3254

HCPCS Procedure Code

HCPCS code L3254 is the #4,948 most-billed Medicaid procedure code, with $342K in payments across 15K claims from 2018–2024. The national median cost per claim is $22.24.

Total Paid

$342K

0.00% of all spending

Total Claims

15K

Providers

5

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for L3254? Based on 5 providers billing this code nationally.

Median

$22.24

Average

$22.95

Std Dev

$7.64

Max

$33.50

Percentile Distribution (Cost per Claim)

p10
$15.64
p25
$16.95
Median
$22.24
p75
$27.28
p90
$31.02
p95
$32.26
p99
$33.25

50% of providers bill between $16.95 and $27.28 per claim for this code.

90% bill between $15.64 and $31.02.

Top 1% bill above $33.25.

About This Procedure

HCPCS code L3254 was billed by 5 providers across 15K claims, totaling $342K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.24

Providers Billing

5

National Spending

$342K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3254

#ProviderTotal Paid
11386755411$200K
21497158554$59K
31669579868$47K
41306941786$23K
51588062764$13K

Showing top 5 of 5 providers billing this code