Z4315
HCPCS Procedure Code
HCPCS code Z4315 is the #6,225 most-billed Medicaid procedure code, with $82K in payments across 1,763 claims from 2018–2024. The national median cost per claim is $49.79.
Total Paid
$82K
0.00% of all spending
Total Claims
1,763
Providers
6
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for Z4315? Based on 6 providers billing this code nationally.
Median
$49.79
Average
$52.50
Std Dev
$15.66
Max
$82.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.14 and $49.79 per claim for this code.
90% bill between $41.61 and $66.11.
Top 1% bill above $80.79.
About This Procedure
HCPCS code Z4315 was billed by 6 providers across 1,763 claims, totaling $82K in Medicaid payments from 2018–2024. This code was used for 1,710 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.79
Providers Billing
6
National Spending
$82K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z4315
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376614016 | $43K |
| 2 | 1316117955 | $19K |
| 3 | 1477624104 | $10K |
| 4 | 1548659170 | $7K |
| 5 | 1801956842 | $2K |
| 6 | 1477627537 | $597 |
Showing top 6 of 6 providers billing this code