Z4312
HCPCS Procedure Code
HCPCS code Z4312 is the #4,072 most-billed Medicaid procedure code, with $872K in payments across 74K claims from 2018–2024. The national median cost per claim is $11.15.
Total Paid
$872K
0.00% of all spending
Total Claims
74K
Providers
19
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for Z4312? Based on 19 providers billing this code nationally.
Median
$11.15
Average
$10.48
Std Dev
$1.80
Max
$12.75
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 $12.10.
Top 1% bill above $12.64.
About This Procedure
HCPCS code Z4312 was billed by 19 providers across 74K claims, totaling $872K in Medicaid payments from 2018–2024. This code was used for 73K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.15
Providers Billing
19
National Spending
$872K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z4312
| # | Provider | Total Paid |
|---|---|---|
| 1 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $219K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $202K |
| 3 | 1700949336 | $130K |
| 4 | 1477596583 | $104K |
| 5 | 1811946734 | $85K |
| 6 | 1982667663 | $26K |
| 7 | 1710065933 | $23K |
| 8 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $21K |
| 9 | 1811080526 | $16K |
| 10 | 1710287297 | $10K |
| 11 | 1538152541 | $8K |
| 12 | 1144213166 | $6K |
| 13 | 1356334452 | $6K |
| 14 | 1093910234 | $5K |
| 15 | 1477546430 | $4K |
| 16 | 1104906569 | $4K |
| 17 | 1386637346 | $2K |
| 18 | 1740273762 | $1K |
| 19 | 1568455590 | $374 |
Showing top 19 of 19 providers billing this code