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#1324 of 11K

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)

p10
$214.07
p25
$223.35
Median
$241.19
p75
$291.41
p90
$322.47
p95
$338.40
p99
$348.14

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

#ProviderTotal Paid
11740214709$4.3M
21417012402$3.9M
31922265586$2.6M
41629079272$2.2M
51245524792$2.1M
61972504702$2.0M
71023180015$1.9M
81386678340$1.7M
91619351574$1.7M
101497921480$1.6M
111053463752$1.5M
121720300783$911K
131265569354$846K
141609033588$251K

Showing top 14 of 14 providers billing this code