Z5868
HCPCS Procedure Code
HCPCS code Z5868 is the #1,324 most-billed Medicaid procedure code, with $27.5M in payments across 110K claims from 2018–2024. The national median cost per claim is $241.19.
Total Paid
$27.5M
0.00% of all spending
Total Claims
110K
Providers
14
Avg Cost/Claim
$251
National Cost Distribution
How much do providers bill per claim for Z5868? Based on 14 providers billing this code nationally.
Median
$241.19
Average
$258.06
Std Dev
$45.72
Max
$350.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $223.35 and $291.41 per claim for this code.
90% bill between $214.07 and $322.47.
Top 1% bill above $348.14.
About This Procedure
HCPCS code Z5868 was billed by 14 providers across 110K claims, totaling $27.5M in Medicaid payments from 2018–2024. This code was used for 5,071 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$241.19
Providers Billing
14
National Spending
$27.5M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5868
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740214709 | $4.3M |
| 2 | 1417012402 | $3.9M |
| 3 | 1922265586 | $2.6M |
| 4 | 1629079272 | $2.2M |
| 5 | 1245524792 | $2.1M |
| 6 | 1972504702 | $2.0M |
| 7 | 1023180015 | $1.9M |
| 8 | 1386678340 | $1.7M |
| 9 | 1619351574 | $1.7M |
| 10 | 1497921480 | $1.6M |
| 11 | 1053463752 | $1.5M |
| 12 | 1720300783 | $911K |
| 13 | 1265569354 | $846K |
| 14 | 1609033588 | $251K |
Showing top 14 of 14 providers billing this code