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#927 of 11K

1021Z

HCPCS Procedure Code

HCPCS code 1021Z is the #927 most-billed Medicaid procedure code, with $57.6M in payments across 447K claims from 2018–2024. The national median cost per claim is $137.60.

Total Paid

$57.6M

0.01% of all spending

Total Claims

447K

Providers

56

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for 1021Z? Based on 56 providers billing this code nationally.

Median

$137.60

Average

$138.73

Std Dev

$23.34

Max

$223.84

Percentile Distribution (Cost per Claim)

p10
$118.55
p25
$129.54
Median
$137.60
p75
$146.57
p90
$159.42
p95
$167.90
p99
$207.70

50% of providers bill between $129.54 and $146.57 per claim for this code.

90% bill between $118.55 and $159.42.

Top 1% bill above $207.70.

About This Procedure

HCPCS code 1021Z was billed by 56 providers across 447K claims, totaling $57.6M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.60

Providers Billing

56

National Spending

$57.6M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 1021Z

#ProviderTotal Paid
11538285879$21.9M
21104204965$2.8M
31720200256$2.6M
4Care Finders Total Care Llc

Hackensack, NJ · Home Health

$1.9M
51629320494$1.9M
61346461639$1.6M
71710248083$1.5M
81164867081$1.4M
91306064266$1.3M
101225548332$1.2M
111497815583$1.1M
121124488432$997K
131861606675$936K
141982721965$895K
151932396298$893K
161346639739$806K
171265644462$760K
181083063481$698K
191518366335$677K
201083613798$630K

Showing top 20 of 56 providers billing this code

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