L8613
HCPCS Procedure Code
HCPCS code L8613 is the #4,812 most-billed Medicaid procedure code, with $388K in payments across 11K claims from 2018–2024. The national median cost per claim is $23.11. Costs vary widely — the 90th percentile is $59.39 per claim, 2.6× the median.
Total Paid
$388K
0.00% of all spending
Total Claims
11K
Providers
25
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for L8613? Based on 13 providers billing this code nationally.
Median
$23.11
Average
$24.07
Std Dev
$27.02
Max
$89.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.21 and $30.98 per claim for this code.
90% bill between $0.39 and $59.39.
Top 1% bill above $86.46.
About This Procedure
HCPCS code L8613 was billed by 25 providers across 11K claims, totaling $388K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.11
Providers Billing
13
National Spending
$388K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L8613
| # | Provider | Total Paid |
|---|---|---|
| 1 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital | $165K |
| 2 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $114K |
| 3 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $41K |
| 4 | 1699874248 | $33K |
| 5 | Children's Health System Of Texas Plano, TX · General Acute Care Hospital Children | $21K |
| 6 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $12K |
| 7 | 1598744856 | $767 |
| 8 | 1346297843 | $724 |
| 9 | 1407962046 | $610 |
| 10 | University Of Texas Medical Branch At Galveston Galveston, TX · Clinic/Center, Ambulatory Surgical | $562 |
| 11 | 1447231956 | $434 |
| 12 | State University Of Iowa Iowa City, IA · General Acute Care Hospital | $8 |
| 13 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $0 |
| 14 | 1487706214 | $0 |
| 15 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $0 |
| 16 | Oregon Health & Science University Portland, OR · General Practice | $0 |
| 17 | 1407805971 | $0 |
| 18 | 1962866418 | $0 |
| 19 | 1528169125 | $0 |
| 20 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital Children | $0 |
Showing top 20 of 25 providers billing this code