Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3389 of 11K

L9900

HCPCS Procedure Code

HCPCS code L9900 is the #3,389 most-billed Medicaid procedure code, with $1.8M in payments across 17K claims from 2018–2024. The national median cost per claim is $162.45. Costs vary widely — the 90th percentile is $1,880.12 per claim, 11.6× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

17K

Providers

9

Avg Cost/Claim

$105

National Cost Distribution

How much do providers bill per claim for L9900? Based on 9 providers billing this code nationally.

Median

$162.45

Average

$1,059.46

Std Dev

$2,786.54

Max

$8,488.10

Percentile Distribution (Cost per Claim)

p10
$52.48
p25
$85.76
Median
$162.45
p75
$196.97
p90
$1,880.12
p95
$5,184.11
p99
$7,827.30

50% of providers bill between $85.76 and $196.97 per claim for this code.

90% bill between $52.48 and $1,880.12.

Top 1% bill above $7,827.30.

About This Procedure

HCPCS code L9900 was billed by 9 providers across 17K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$162.45

Providers Billing

9

National Spending

$1.8M

Avg/Median Ratio

6.52×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L9900

#ProviderTotal Paid
11154462026$713K
2Cochlear Americas

Lone Tree, CO · Durable Medical Equipment & Medical Supplies

$515K
3Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$489K
41568415834$26K
51992862312$25K
61558469403$17K
71336319086$7K
81962517607$6K
91841479573$5K

Showing top 9 of 9 providers billing this code