Z5816
HCPCS Procedure Code
HCPCS code Z5816 is the #6,219 most-billed Medicaid procedure code, with $83K in payments across 1,274 claims from 2018–2024. The national median cost per claim is $57.78.
Total Paid
$83K
0.00% of all spending
Total Claims
1,274
Providers
2
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for Z5816? Based on 2 providers billing this code nationally.
Median
$57.78
Average
$57.78
Std Dev
$13.16
Max
$67.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.13 and $62.43 per claim for this code.
90% bill between $50.33 and $65.22.
Top 1% bill above $66.89.
About This Procedure
HCPCS code Z5816 was billed by 2 providers across 1,274 claims, totaling $83K in Medicaid payments from 2018–2024. This code was used for 374 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.78
Providers Billing
2
National Spending
$83K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.