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#1561 of 11K

Z4306

HCPCS Procedure Code

HCPCS code Z4306 is the #1,561 most-billed Medicaid procedure code, with $19.1M in payments across 365K claims from 2018–2024. The national median cost per claim is $49.73.

Total Paid

$19.1M

0.00% of all spending

Total Claims

365K

Providers

67

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for Z4306? Based on 67 providers billing this code nationally.

Median

$49.73

Average

$49.96

Std Dev

$5.30

Max

$71.85

Percentile Distribution (Cost per Claim)

p10
$49.25
p25
$49.65
Median
$49.73
p75
$49.79
p90
$49.79
p95
$49.83
p99
$71.57

50% of providers bill between $49.65 and $49.79 per claim for this code.

90% bill between $49.25 and $49.79.

Top 1% bill above $71.57.

About This Procedure

HCPCS code Z4306 was billed by 67 providers across 365K claims, totaling $19.1M in Medicaid payments from 2018–2024. This code was used for 341K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.73

Providers Billing

67

National Spending

$19.1M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4306

#ProviderTotal Paid
11669617197$3.0M
2Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$2.7M
31588862130$2.6M
41417155060$2.1M
51477624104$1.0M
61477596583$923K
71427256072$869K
81982667663$716K
91902004542$587K
101497953046$561K
111104001858$475K
121336347988$455K
131528243268$342K
141710287297$298K
151437555265$252K
161053519603$220K
171932384682$206K
181922206572$157K
191356334452$153K
201437447521$151K

Showing top 20 of 67 providers billing this code