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#4303 of 11K

Z4302

HCPCS Procedure Code

HCPCS code Z4302 is the #4,303 most-billed Medicaid procedure code, with $680K in payments across 54K claims from 2018–2024. The national median cost per claim is $12.05.

Total Paid

$680K

0.00% of all spending

Total Claims

54K

Providers

30

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for Z4302? Based on 30 providers billing this code nationally.

Median

$12.05

Average

$12.31

Std Dev

$3.96

Max

$24.10

Percentile Distribution (Cost per Claim)

p10
$7.92
p25
$8.86
Median
$12.05
p75
$14.11
p90
$15.93
p95
$19.57
p99
$23.49

50% of providers bill between $8.86 and $14.11 per claim for this code.

90% bill between $7.92 and $15.93.

Top 1% bill above $23.49.

About This Procedure

HCPCS code Z4302 was billed by 30 providers across 54K claims, totaling $680K in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.05

Providers Billing

30

National Spending

$680K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4302

#ProviderTotal Paid
1Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$216K
21477596583$163K
3Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$76K
41588862130$50K
51811946734$34K
61104906569$25K
71710065933$18K
81093959900$17K
91811080526$16K
101407813660$13K
111114102860$12K
121811024037$8K
131669617197$8K
141982667663$3K
15County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$3K
161386637346$3K
171750374872$2K
181215927470$2K
191932384682$2K
201710260179$1K

Showing top 20 of 30 providers billing this code