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#6642 of 11K

L3931

HCPCS Procedure Code

HCPCS code L3931 is the #6,642 most-billed Medicaid procedure code, with $50K in payments across 739 claims from 2018–2024. The national median cost per claim is $59.61.

Total Paid

$50K

0.00% of all spending

Total Claims

739

Providers

5

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for L3931? Based on 5 providers billing this code nationally.

Median

$59.61

Average

$56.81

Std Dev

$45.41

Max

$113.07

Percentile Distribution (Cost per Claim)

p10
$10.20
p25
$23.35
Median
$59.61
p75
$86.61
p90
$102.49
p95
$107.78
p99
$112.01

50% of providers bill between $23.35 and $86.61 per claim for this code.

90% bill between $10.20 and $102.49.

Top 1% bill above $112.01.

About This Procedure

HCPCS code L3931 was billed by 5 providers across 739 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 694 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.61

Providers Billing

5

National Spending

$50K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3931

#ProviderTotal Paid
11730364530$24K
21962566562$17K
31912908773$9K
41548336423$1K
5University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$133

Showing top 5 of 5 providers billing this code