Z5918
HCPCS Procedure Code
HCPCS code Z5918 is the #5,581 most-billed Medicaid procedure code, with $173K in payments across 11K claims from 2018–2024. The national median cost per claim is $13.97.
Total Paid
$173K
0.00% of all spending
Total Claims
11K
Providers
9
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for Z5918? Based on 9 providers billing this code nationally.
Median
$13.97
Average
$16.48
Std Dev
$3.87
Max
$21.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.62 and $21.54 per claim for this code.
90% bill between $13.60 and $21.62.
Top 1% bill above $21.69.
About This Procedure
HCPCS code Z5918 was billed by 9 providers across 11K claims, totaling $173K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.97
Providers Billing
9
National Spending
$173K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5918
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $51K |
| 2 | 1902846306 | $49K |
| 3 | 1215993704 | $32K |
| 4 | 1467442749 | $17K |
| 5 | 1598854846 | $10K |
| 6 | 1962800235 | $8K |
| 7 | 1275583205 | $5K |
| 8 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $825 |
| 9 | 1386162949 | $178 |
Showing top 9 of 9 providers billing this code