Z0104
HCPCS Procedure Code
HCPCS code Z0104 is the #1,627 most-billed Medicaid procedure code, with $17.4M in payments across 111K claims from 2018–2024. The national median cost per claim is $141.22.
Total Paid
$17.4M
0.00% of all spending
Total Claims
111K
Providers
40
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for Z0104? Based on 40 providers billing this code nationally.
Median
$141.22
Average
$179.74
Std Dev
$181.63
Max
$1,238.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $135.31 and $143.63 per claim for this code.
90% bill between $132.05 and $152.45.
Top 1% bill above $920.35.
About This Procedure
HCPCS code Z0104 was billed by 40 providers across 111K claims, totaling $17.4M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$141.22
Providers Billing
40
National Spending
$17.4M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z0104
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316041833 | $2.7M |
| 2 | 1205179132 | $2.2M |
| 3 | 1477503407 | $1.7M |
| 4 | 1760441844 | $1.5M |
| 5 | 1669617197 | $978K |
| 6 | 1356585954 | $845K |
| 7 | 1821101650 | $688K |
| 8 | 1285658708 | $533K |
| 9 | 1083897532 | $512K |
| 10 | 1437555265 | $497K |
| 11 | 1770760043 | $483K |
| 12 | 1043375561 | $461K |
| 13 | 1790851921 | $446K |
| 14 | 1659577369 | $435K |
| 15 | 1952327256 | $402K |
| 16 | 1588729214 | $382K |
| 17 | 1558546374 | $360K |
| 18 | 1801849286 | $342K |
| 19 | 1962495986 | $326K |
| 20 | 1619168952 | $229K |
Showing top 20 of 40 providers billing this code