L4360
HCPCS Procedure Code
HCPCS code L4360 is the #1,434 most-billed Medicaid procedure code, with $23.4M in payments across 153K claims from 2018–2024. The national median cost per claim is $149.34.
Total Paid
$23.4M
0.00% of all spending
Total Claims
153K
Providers
310
Avg Cost/Claim
$153
National Cost Distribution
How much do providers bill per claim for L4360? Based on 297 providers billing this code nationally.
Median
$149.34
Average
$146.55
Std Dev
$59.31
Max
$298.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $110.14 and $181.83 per claim for this code.
90% bill between $78.49 and $223.82.
Top 1% bill above $274.71.
About This Procedure
HCPCS code L4360 was billed by 310 providers across 153K claims, totaling $23.4M in Medicaid payments from 2018–2024. This code was used for 140K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$149.34
Providers Billing
297
National Spending
$23.4M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L4360
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790747244 | $4.3M |
| 2 | 1376627224 | $970K |
| 3 | 1457354219 | $831K |
| 4 | 1346248341 | $814K |
| 5 | 1912909086 | $679K |
| 6 | 1467563189 | $661K |
| 7 | 1114987344 | $641K |
| 8 | 1265526396 | $515K |
| 9 | 1821418187 | $507K |
| 10 | 1366842130 | $481K |
| 11 | 1003829342 | $452K |
| 12 | 1346236635 | $418K |
| 13 | 1043251341 | $371K |
| 14 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $365K |
| 15 | 1700119559 | $314K |
| 16 | 1275784001 | $291K |
| 17 | 1164586103 | $284K |
| 18 | 1629476510 | $273K |
| 19 | 1235530312 | $270K |
| 20 | 1407898299 | $256K |
Showing top 20 of 310 providers billing this code