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#1980 of 11K

Z4305

HCPCS Procedure Code

HCPCS code Z4305 is the #1,980 most-billed Medicaid procedure code, with $10.6M in payments across 107K claims from 2018–2024. The national median cost per claim is $99.36.

Total Paid

$10.6M

0.00% of all spending

Total Claims

107K

Providers

40

Avg Cost/Claim

$99

National Cost Distribution

How much do providers bill per claim for Z4305? Based on 40 providers billing this code nationally.

Median

$99.36

Average

$97.00

Std Dev

$5.47

Max

$99.57

Percentile Distribution (Cost per Claim)

p10
$89.10
p25
$98.08
Median
$99.36
p75
$99.56
p90
$99.57
p95
$99.57
p99
$99.57

50% of providers bill between $98.08 and $99.56 per claim for this code.

90% bill between $89.10 and $99.57.

Top 1% bill above $99.57.

About This Procedure

HCPCS code Z4305 was billed by 40 providers across 107K claims, totaling $10.6M in Medicaid payments from 2018–2024. This code was used for 98K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.36

Providers Billing

40

National Spending

$10.6M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4305

#ProviderTotal Paid
11588862130$3.1M
21669617197$3.0M
31437555265$566K
41528243268$564K
51477624104$451K
61497953046$411K
71902004542$396K
81417155060$337K
91801889829$216K
101922206572$160K
111558546374$137K
121053519603$132K
131477546430$122K
141760549141$117K
151538152541$89K
161548659170$80K
171144213166$76K
181104001858$75K
191750624680$70K
201093910234$63K

Showing top 20 of 40 providers billing this code