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

#3588 of 11K

1438Z

HCPCS Procedure Code

HCPCS code 1438Z is the #3,588 most-billed Medicaid procedure code, with $1.5M in payments across 13K claims from 2018–2024. The national median cost per claim is $657.58.

Total Paid

$1.5M

0.00% of all spending

Total Claims

13K

Providers

2

Avg Cost/Claim

$110

National Cost Distribution

How much do providers bill per claim for 1438Z? Based on 2 providers billing this code nationally.

Median

$657.58

Average

$657.58

Std Dev

$860.43

Max

$1,266.00

Percentile Distribution (Cost per Claim)

p10
$170.85
p25
$353.37
Median
$657.58
p75
$961.79
p90
$1,144.32
p95
$1,205.16
p99
$1,253.83

50% of providers bill between $353.37 and $961.79 per claim for this code.

90% bill between $170.85 and $1,144.32.

Top 1% bill above $1,253.83.

About This Procedure

HCPCS code 1438Z was billed by 2 providers across 13K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 808 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$657.58

Providers Billing

2

National Spending

$1.5M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.