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#3761 of 11K

Z4310

HCPCS Procedure Code

HCPCS code Z4310 is the #3,761 most-billed Medicaid procedure code, with $1.2M in payments across 99K claims from 2018–2024. The national median cost per claim is $11.87.

Total Paid

$1.2M

0.00% of all spending

Total Claims

99K

Providers

24

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for Z4310? Based on 24 providers billing this code nationally.

Median

$11.87

Average

$11.14

Std Dev

$2.32

Max

$16.13

Percentile Distribution (Cost per Claim)

p10
$8.32
p25
$8.37
Median
$11.87
p75
$12.30
p90
$13.76
p95
$14.44
p99
$15.77

50% of providers bill between $8.37 and $12.30 per claim for this code.

90% bill between $8.32 and $13.76.

Top 1% bill above $15.77.

About This Procedure

HCPCS code Z4310 was billed by 24 providers across 99K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 91K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.87

Providers Billing

24

National Spending

$1.2M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4310

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$607K
21669617197$129K
31477596583$100K
41700949336$81K
51982667663$51K
61811946734$38K
71710065933$37K
81801889829$31K
91356334452$27K
101710287297$25K
111811080526$12K
121477546430$11K
131750374872$9K
141144213166$9K
15Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$8K
161093910234$7K
171477624104$7K
181093959900$6K
191740273762$5K
201538152541$4K

Showing top 20 of 24 providers billing this code