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#5021 of 11K

Z4309

HCPCS Procedure Code

HCPCS code Z4309 is the #5,021 most-billed Medicaid procedure code, with $319K in payments across 13K claims from 2018–2024. The national median cost per claim is $24.80.

Total Paid

$319K

0.00% of all spending

Total Claims

13K

Providers

13

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for Z4309? Based on 13 providers billing this code nationally.

Median

$24.80

Average

$27.86

Std Dev

$7.38

Max

$46.69

Percentile Distribution (Cost per Claim)

p10
$24.19
p25
$24.31
Median
$24.80
p75
$27.31
p90
$37.62
p95
$42.30
p99
$45.82

50% of providers bill between $24.31 and $27.31 per claim for this code.

90% bill between $24.19 and $37.62.

Top 1% bill above $45.82.

About This Procedure

HCPCS code Z4309 was billed by 13 providers across 13K claims, totaling $319K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.80

Providers Billing

13

National Spending

$319K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4309

#ProviderTotal Paid
1Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$110K
21477596583$83K
31114102860$50K
41811080526$19K
51811946734$19K
6County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$8K
71811024037$8K
8Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$6K
91417155060$6K
101700949336$5K
11Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$3K
121558546374$1K
131427256072$336

Showing top 13 of 13 providers billing this code