L3923
HCPCS Procedure Code
HCPCS code L3923 is the #5,456 most-billed Medicaid procedure code, with $195K in payments across 7K claims from 2018–2024. The national median cost per claim is $21.47. Costs vary widely — the 90th percentile is $44.56 per claim, 2.1× the median.
Total Paid
$195K
0.00% of all spending
Total Claims
7K
Providers
24
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for L3923? Based on 22 providers billing this code nationally.
Median
$21.47
Average
$25.56
Std Dev
$19.83
Max
$87.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.63 and $36.94 per claim for this code.
90% bill between $7.92 and $44.56.
Top 1% bill above $79.61.
About This Procedure
HCPCS code L3923 was billed by 24 providers across 7K claims, totaling $195K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.47
Providers Billing
22
National Spending
$195K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3923
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467879718 | $86K |
| 2 | 1790747244 | $52K |
| 3 | 1154579597 | $12K |
| 4 | City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care | $8K |
| 5 | 1487646360 | $6K |
| 6 | 1235530312 | $5K |
| 7 | 1306836465 | $5K |
| 8 | 1740251628 | $4K |
| 9 | 1457354219 | $4K |
| 10 | 1336736115 | $3K |
| 11 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $2K |
| 12 | 1235123118 | $2K |
| 13 | Mnr Industries Llc Bel Air, MD · Clinic/Center Urgent Care | $1K |
| 14 | 1235338641 | $816 |
| 15 | 1639314255 | $639 |
| 16 | 1891028379 | $612 |
| 17 | 1699850073 | $495 |
| 18 | 1467563189 | $484 |
| 19 | 1114054384 | $377 |
| 20 | 1790030385 | $272 |
Showing top 20 of 24 providers billing this code