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#4139 of 11K

Z5822

HCPCS Procedure Code

HCPCS code Z5822 is the #4,139 most-billed Medicaid procedure code, with $808K in payments across 24K claims from 2018–2024. The national median cost per claim is $40.83.

Total Paid

$808K

0.00% of all spending

Total Claims

24K

Providers

18

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for Z5822? Based on 18 providers billing this code nationally.

Median

$40.83

Average

$43.63

Std Dev

$31.71

Max

$138.39

Percentile Distribution (Cost per Claim)

p10
$14.00
p25
$20.00
Median
$40.83
p75
$55.07
p90
$68.00
p95
$97.79
p99
$130.27

50% of providers bill between $20.00 and $55.07 per claim for this code.

90% bill between $14.00 and $68.00.

Top 1% bill above $130.27.

About This Procedure

HCPCS code Z5822 was billed by 18 providers across 24K claims, totaling $808K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.83

Providers Billing

18

National Spending

$808K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5822

#ProviderTotal Paid
11700949336$353K
21952777245$103K
3Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$97K
41366489197$64K
51215993704$45K
61902846306$35K
71598854846$33K
81093091662$18K
91710065933$17K
101962800235$10K
111891899944$8K
121013932557$6K
131134218332$5K
141730571332$4K
151760491021$3K
161467442749$3K
171366797870$2K
181164559456$2K

Showing top 18 of 18 providers billing this code

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