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#3337 of 11K

1437Z

HCPCS Procedure Code

HCPCS code 1437Z is the #3,337 most-billed Medicaid procedure code, with $1.9M in payments across 30K claims from 2018–2024. The national median cost per claim is $598.45. Costs vary widely — the 90th percentile is $1,300.58 per claim, 2.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

30K

Providers

4

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for 1437Z? Based on 4 providers billing this code nationally.

Median

$598.45

Average

$654.40

Std Dev

$698.07

Max

$1,371.85

Percentile Distribution (Cost per Claim)

p10
$52.98
p25
$59.18
Median
$598.45
p75
$1,193.68
p90
$1,300.58
p95
$1,336.21
p99
$1,364.72

50% of providers bill between $59.18 and $1,193.68 per claim for this code.

90% bill between $52.98 and $1,300.58.

Top 1% bill above $1,364.72.

About This Procedure

HCPCS code 1437Z was billed by 4 providers across 30K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 1,184 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$598.45

Providers Billing

4

National Spending

$1.9M

Avg/Median Ratio

1.09×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.