Z5916
HCPCS Procedure Code
HCPCS code Z5916 is the #4,784 most-billed Medicaid procedure code, with $403K in payments across 11K claims from 2018–2024. The national median cost per claim is $33.21.
Total Paid
$403K
0.00% of all spending
Total Claims
11K
Providers
9
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for Z5916? Based on 9 providers billing this code nationally.
Median
$33.21
Average
$38.22
Std Dev
$8.34
Max
$51.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.43 and $43.52 per claim for this code.
90% bill between $32.37 and $51.47.
Top 1% bill above $51.69.
About This Procedure
HCPCS code Z5916 was billed by 9 providers across 11K claims, totaling $403K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.21
Providers Billing
9
National Spending
$403K
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5916
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902846306 | $123K |
| 2 | 1215993704 | $79K |
| 3 | 1710065933 | $59K |
| 4 | 1467442749 | $42K |
| 5 | 1598854846 | $28K |
| 6 | 1386162949 | $25K |
| 7 | 1962800235 | $23K |
| 8 | 1275583205 | $21K |
| 9 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $3K |
Showing top 9 of 9 providers billing this code