Z4311
HCPCS Procedure Code
HCPCS code Z4311 is the #3,349 most-billed Medicaid procedure code, with $1.9M in payments across 148K claims from 2018–2024. The national median cost per claim is $11.03.
Total Paid
$1.9M
0.00% of all spending
Total Claims
148K
Providers
25
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for Z4311? Based on 25 providers billing this code nationally.
Median
$11.03
Average
$10.68
Std Dev
$2.00
Max
$14.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.35 and $12.06 per claim for this code.
90% bill between $8.32 and $12.35.
Top 1% bill above $14.72.
About This Procedure
HCPCS code Z4311 was billed by 25 providers across 148K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.03
Providers Billing
25
National Spending
$1.9M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z4311
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $748K |
| 2 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $352K |
| 3 | 1477596583 | $227K |
| 4 | 1700949336 | $164K |
| 5 | 1811946734 | $94K |
| 6 | 1982667663 | $67K |
| 7 | 1801889829 | $33K |
| 8 | 1710065933 | $32K |
| 9 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $32K |
| 10 | 1356334452 | $28K |
| 11 | 1811080526 | $22K |
| 12 | 1710287297 | $18K |
| 13 | 1477546430 | $10K |
| 14 | 1538152541 | $9K |
| 15 | 1750374872 | $7K |
| 16 | 1144213166 | $6K |
| 17 | 1104906569 | $5K |
| 18 | 1386637346 | $5K |
| 19 | 1093910234 | $4K |
| 20 | 1588721500 | $2K |
Showing top 20 of 25 providers billing this code