Z1038
HCPCS Procedure Code
HCPCS code Z1038 is the #4,817 most-billed Medicaid procedure code, with $387K in payments across 50K claims from 2018–2024. The national median cost per claim is $54.47.
Total Paid
$387K
0.00% of all spending
Total Claims
50K
Providers
252
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for Z1038? Based on 62 providers billing this code nationally.
Median
$54.47
Average
$51.62
Std Dev
$8.44
Max
$55.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.43 and $54.70 per claim for this code.
90% bill between $43.97 and $54.85.
Top 1% bill above $55.09.
About This Procedure
HCPCS code Z1038 was billed by 252 providers across 50K claims, totaling $387K in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.47
Providers Billing
62
National Spending
$387K
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z1038
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730136680 | $69K |
| 2 | 1760545503 | $54K |
| 3 | 1912176264 | $29K |
| 4 | 1164061461 | $26K |
| 5 | 1265668784 | $23K |
| 6 | 1487095337 | $18K |
| 7 | 1669776175 | $15K |
| 8 | 1609913441 | $14K |
| 9 | 1255587630 | $12K |
| 10 | 1396721197 | $12K |
| 11 | 1114301298 | $11K |
| 12 | 1073578134 | $8K |
| 13 | 1255849238 | $8K |
| 14 | 1629107636 | $7K |
| 15 | 1669548483 | $7K |
| 16 | 1033256573 | $7K |
| 17 | 1508046251 | $6K |
| 18 | 1710921440 | $4K |
| 19 | 1356498935 | $4K |
| 20 | 1407941586 | $4K |
Showing top 20 of 252 providers billing this code