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#4142 of 11K

HZ42ZZZ

HCPCS Procedure Code

HCPCS code HZ42ZZZ is the #4,142 most-billed Medicaid procedure code, with $807K in payments across 1,087 claims from 2018–2024. The national median cost per claim is $676.06.

Total Paid

$807K

0.00% of all spending

Total Claims

1,087

Providers

2

Avg Cost/Claim

$742

National Cost Distribution

How much do providers bill per claim for HZ42ZZZ? Based on 2 providers billing this code nationally.

Median

$676.06

Average

$676.06

Std Dev

$712.89

Max

$1,180.15

Percentile Distribution (Cost per Claim)

p10
$272.79
p25
$424.02
Median
$676.06
p75
$928.11
p90
$1,079.34
p95
$1,129.74
p99
$1,170.07

50% of providers bill between $424.02 and $928.11 per claim for this code.

90% bill between $272.79 and $1,079.34.

Top 1% bill above $1,170.07.

About This Procedure

HCPCS code HZ42ZZZ was billed by 2 providers across 1,087 claims, totaling $807K in Medicaid payments from 2018–2024. This code was used for 139 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$676.06

Providers Billing

2

National Spending

$807K

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.

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