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#6261 of 11K

L3674

HCPCS Procedure Code

HCPCS code L3674 is the #6,261 most-billed Medicaid procedure code, with $79K in payments across 706 claims from 2018–2024. The national median cost per claim is $64.93. Costs vary widely — the 90th percentile is $393.37 per claim, 6.1× the median.

Total Paid

$79K

0.00% of all spending

Total Claims

706

Providers

4

Avg Cost/Claim

$112

National Cost Distribution

How much do providers bill per claim for L3674? Based on 3 providers billing this code nationally.

Median

$64.93

Average

$193.46

Std Dev

$244.56

Max

$475.49

Percentile Distribution (Cost per Claim)

p10
$44.96
p25
$52.45
Median
$64.93
p75
$270.21
p90
$393.37
p95
$434.43
p99
$467.28

50% of providers bill between $52.45 and $270.21 per claim for this code.

90% bill between $44.96 and $393.37.

Top 1% bill above $467.28.

About This Procedure

HCPCS code L3674 was billed by 4 providers across 706 claims, totaling $79K in Medicaid payments from 2018–2024. This code was used for 549 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.93

Providers Billing

3

National Spending

$79K

Avg/Median Ratio

2.98×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.