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#2270 of 11K

Z4304

HCPCS Procedure Code

HCPCS code Z4304 is the #2,270 most-billed Medicaid procedure code, with $7.2M in payments across 113K claims from 2018–2024. The national median cost per claim is $53.44.

Total Paid

$7.2M

0.00% of all spending

Total Claims

113K

Providers

55

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for Z4304? Based on 55 providers billing this code nationally.

Median

$53.44

Average

$56.70

Std Dev

$8.59

Max

$77.46

Percentile Distribution (Cost per Claim)

p10
$53.07
p25
$53.34
Median
$53.44
p75
$53.46
p90
$77.22
p95
$77.31
p99
$77.43

50% of providers bill between $53.34 and $53.46 per claim for this code.

90% bill between $53.07 and $77.22.

Top 1% bill above $77.43.

About This Procedure

HCPCS code Z4304 was billed by 55 providers across 113K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.44

Providers Billing

55

National Spending

$7.2M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4304

#ProviderTotal Paid
1Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$1.0M
2Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$1.0M
31669617197$1.0M
41588862130$701K
51811946734$558K
61700949336$545K
71477596583$360K
81902004542$195K
91356334452$186K
101104906569$166K
111497953046$140K
121801889829$118K
131982667663$104K
141477503407$78K
151477624104$69K
161548659170$67K
171629191267$67K
181477546430$67K
191538152541$60K
201710287297$56K

Showing top 20 of 55 providers billing this code