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#3268 of 11K

Z0059

HCPCS Procedure Code

HCPCS code Z0059 is the #3,268 most-billed Medicaid procedure code, with $2.1M in payments across 91K claims from 2018–2024. The national median cost per claim is $20.08.

Total Paid

$2.1M

0.00% of all spending

Total Claims

91K

Providers

8

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for Z0059? Based on 8 providers billing this code nationally.

Median

$20.08

Average

$19.97

Std Dev

$6.08

Max

$26.33

Percentile Distribution (Cost per Claim)

p10
$15.75
p25
$19.72
Median
$20.08
p75
$22.31
p90
$26.27
p95
$26.30
p99
$26.33

50% of providers bill between $19.72 and $22.31 per claim for this code.

90% bill between $15.75 and $26.27.

Top 1% bill above $26.33.

About This Procedure

HCPCS code Z0059 was billed by 8 providers across 91K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.08

Providers Billing

8

National Spending

$2.1M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z0059

#ProviderTotal Paid
11114090339$1.2M
21508982232$741K
31023107281$48K
41699038836$28K
51871905992$21K
61295156024$2K
71376761726$1K
8102310728$675

Showing top 8 of 8 providers billing this code

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