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#4812 of 11K

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)

p10
$0.39
p25
$4.21
Median
$23.11
p75
$30.98
p90
$59.39
p95
$75.27
p99
$86.46

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

#ProviderTotal Paid
1Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$165K
2Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$114K
3State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$41K
41699874248$33K
5Children's Health System Of Texas

Plano, TX · General Acute Care Hospital Children

$21K
6Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$12K
71598744856$767
81346297843$724
91407962046$610
10University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$562
111447231956$434
12State University Of Iowa

Iowa City, IA · General Acute Care Hospital

$8
13Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$0
141487706214$0
15Children's Hospital

New Orleans, LA · General Acute Care Hospital Children

$0
16Oregon Health & Science University

Portland, OR · General Practice

$0
171407805971$0
181962866418$0
191528169125$0
20Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital Children

$0

Showing top 20 of 25 providers billing this code