Z4301
HCPCS Procedure Code
HCPCS code Z4301 is the #2,682 most-billed Medicaid procedure code, with $4.2M in payments across 150K claims from 2018–2024. The national median cost per claim is $24.01.
Total Paid
$4.2M
0.00% of all spending
Total Claims
150K
Providers
20
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for Z4301? Based on 20 providers billing this code nationally.
Median
$24.01
Average
$22.81
Std Dev
$6.08
Max
$36.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.75 and $25.90 per claim for this code.
90% bill between $16.63 and $31.56.
Top 1% bill above $35.58.
About This Procedure
HCPCS code Z4301 was billed by 20 providers across 150K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.01
Providers Billing
20
National Spending
$4.2M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z4301
| # | Provider | Total Paid |
|---|---|---|
| 1 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $1.4M |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $1.1M |
| 3 | 1477596583 | $763K |
| 4 | 1700949336 | $435K |
| 5 | 1811946734 | $237K |
| 6 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $65K |
| 7 | 1811080526 | $49K |
| 8 | 1215927470 | $23K |
| 9 | 1093959900 | $9K |
| 10 | 1104906569 | $9K |
| 11 | 1982667663 | $6K |
| 12 | 1689632374 | $5K |
| 13 | 1588721500 | $5K |
| 14 | 1972541498 | $4K |
| 15 | 1669617197 | $4K |
| 16 | 1093910234 | $2K |
| 17 | 1417907940 | $1K |
| 18 | 1437117074 | $665 |
| 19 | 1710065933 | $627 |
| 20 | 1710287297 | $266 |
Showing top 20 of 20 providers billing this code