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#1848 of 11K

Z4300

HCPCS Procedure Code

HCPCS code Z4300 is the #1,848 most-billed Medicaid procedure code, with $12.8M in payments across 129K claims from 2018–2024. The national median cost per claim is $72.00.

Total Paid

$12.8M

0.00% of all spending

Total Claims

129K

Providers

25

Avg Cost/Claim

$99

National Cost Distribution

How much do providers bill per claim for Z4300? Based on 25 providers billing this code nationally.

Median

$72.00

Average

$85.56

Std Dev

$17.05

Max

$103.28

Percentile Distribution (Cost per Claim)

p10
$68.77
p25
$71.27
Median
$72.00
p75
$103.00
p90
$103.22
p95
$103.25
p99
$103.28

50% of providers bill between $71.27 and $103.00 per claim for this code.

90% bill between $68.77 and $103.22.

Top 1% bill above $103.28.

About This Procedure

HCPCS code Z4300 was billed by 25 providers across 129K claims, totaling $12.8M in Medicaid payments from 2018–2024. This code was used for 124K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.00

Providers Billing

25

National Spending

$12.8M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4300

#ProviderTotal Paid
1Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$4.1M
2Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$3.0M
31477596583$1.9M
41700949336$865K
51811946734$839K
61982667663$465K
71356334452$283K
81215927470$243K
91104906569$222K
101710287297$173K
111407813660$172K
121811080526$148K
131750374872$100K
14Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$98K
151477624104$55K
161588721500$23K
171386637346$13K
181710260179$11K
191417907940$4K
201437117074$3K

Showing top 20 of 25 providers billing this code