#3467 of 11K

L3924

HCPCS Procedure Code

HCPCS code L3924 is the #3,467 most-billed Medicaid procedure code, with $1.6M in payments across 41K claims from 2018–2024. The national median cost per claim is $41.40.

Total Paid

$1.6M

0.00% of all spending

Total Claims

41K

Providers

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for L3924? Based on 41 providers billing this code nationally.

Median

$41.40

Average

$42.31

Std Dev

$12.62

Max

$69.90

Percentile Distribution (Cost per Claim)

p10

$27.91

p25

$34.60

Median

$41.40

p75

$50.45

p90

$55.30

p95

$64.46

p99

$68.92

50% of providers bill between $34.60 and $50.45 per claim for this code.

90% bill between $27.91 and $55.30.

Top 1% bill above $68.92.

About This Procedure

HCPCS code L3924 was billed by 42 providers across 41K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.40

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3924

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$546K	$37.02	0.9× median	Below Median
2	1487646360	$257K	$41.49	1.0× median	Above Median
3	1306836465	$108K	$33.89	0.8× median	Below Median
4	1326048893	$98K	$49.32	1.2× median	Above Median
5	1669417531	$79K	$51.28	1.2× median	Above 75th
6	1457354219	$72K	$54.45	1.3× median	Above 75th
7	1669532248	$64K	$67.46	1.6× median	Top 10%
8	1386643856	$62K	$22.94	0.6× median	Below Median
9	1790747244	$59K	$40.39	1.0× median	Below Median
10	1891787594	$52K	$37.71	0.9× median	Below Median
11	1750582920	$43K	$37.85	0.9× median	Below Median
12	1710900857	$40K	$41.66	1.0× median	Above Median
13	1962413765	$35K	$55.30	1.3× median	Above 75th
14	1629235437	$21K	$50.45	1.2× median	Above 75th
15	1275784001	$19K	$48.66	1.2× median	Above Median
16	1447553144	$12K	$49.70	1.2× median	Above Median
17	1982682134	$11K	$44.05	1.1× median	Above Median
18	1053440321	$7K	$51.57	1.2× median	Above 75th
19	1114993490	$7K	$39.57	1.0× median	Below Median
20	1003154352	$7K	$26.07	0.6× median	Below Median

Showing top 20 of 42 providers billing this code

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