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#2204 of 11K

Z5838

HCPCS Procedure Code

HCPCS code Z5838 is the #2,204 most-billed Medicaid procedure code, with $7.9M in payments across 6,735 claims from 2018–2024. The national median cost per claim is $1,175.72.

Total Paid

$7.9M

0.00% of all spending

Total Claims

6,735

Providers

1

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for Z5838? Based on 1 providers billing this code nationally.

Median

$1,175.72

Average

$1,175.72

Std Dev

Max

$1,175.72

Percentile Distribution (Cost per Claim)

p10
$1,175.72
p25
$1,175.72
Median
$1,175.72
p75
$1,175.72
p90
$1,175.72
p95
$1,175.72
p99
$1,175.72

50% of providers bill between $1,175.72 and $1,175.72 per claim for this code.

90% bill between $1,175.72 and $1,175.72.

Top 1% bill above $1,175.72.

About This Procedure

HCPCS code Z5838 was billed by 1 providers across 6,735 claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 866 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,175.72

Providers Billing

1

National Spending

$7.9M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.