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#5901 of 11K

Z5904

HCPCS Procedure Code

HCPCS code Z5904 is the #5,901 most-billed Medicaid procedure code, with $122K in payments across 2K claims from 2018–2024. The national median cost per claim is $54.86.

Total Paid

$122K

0.00% of all spending

Total Claims

2K

Providers

3

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for Z5904? Based on 3 providers billing this code nationally.

Median

$54.86

Average

$55.03

Std Dev

$1.19

Max

$56.29

Percentile Distribution (Cost per Claim)

p10
$54.12
p25
$54.40
Median
$54.86
p75
$55.57
p90
$56.00
p95
$56.14
p99
$56.26

50% of providers bill between $54.40 and $55.57 per claim for this code.

90% bill between $54.12 and $56.00.

Top 1% bill above $56.26.

About This Procedure

HCPCS code Z5904 was billed by 3 providers across 2K claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.86

Providers Billing

3

National Spending

$122K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.