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#5245 of 11K

L3980

HCPCS Procedure Code

HCPCS code L3980 is the #5,245 most-billed Medicaid procedure code, with $251K in payments across 2K claims from 2018–2024. The national median cost per claim is $156.71.

Total Paid

$251K

0.00% of all spending

Total Claims

2K

Providers

2

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for L3980? Based on 2 providers billing this code nationally.

Median

$156.71

Average

$156.71

Std Dev

$2.94

Max

$158.78

Percentile Distribution (Cost per Claim)

p10
$155.05
p25
$155.67
Median
$156.71
p75
$157.75
p90
$158.37
p95
$158.58
p99
$158.74

50% of providers bill between $155.67 and $157.75 per claim for this code.

90% bill between $155.05 and $158.37.

Top 1% bill above $158.74.

About This Procedure

HCPCS code L3980 was billed by 2 providers across 2K claims, totaling $251K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$156.71

Providers Billing

2

National Spending

$251K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.