Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6462 of 11K

Z5928

HCPCS Procedure Code

HCPCS code Z5928 is the #6,462 most-billed Medicaid procedure code, with $63K in payments across 1K claims from 2018–2024. The national median cost per claim is $35.51.

Total Paid

$63K

0.00% of all spending

Total Claims

1K

Providers

8

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for Z5928? Based on 8 providers billing this code nationally.

Median

$35.51

Average

$37.83

Std Dev

$7.77

Max

$47.32

Percentile Distribution (Cost per Claim)

p10
$29.70
p25
$31.62
Median
$35.51
p75
$45.88
p90
$47.25
p95
$47.29
p99
$47.32

50% of providers bill between $31.62 and $45.88 per claim for this code.

90% bill between $29.70 and $47.25.

Top 1% bill above $47.32.

About This Procedure

HCPCS code Z5928 was billed by 8 providers across 1K claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.51

Providers Billing

8

National Spending

$63K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5928

#ProviderTotal Paid
11811946734$32K
21467442749$17K
31710065933$5K
41902846306$3K
51386162949$2K
6Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$2K
71275583205$1K
81366489197$462

Showing top 8 of 8 providers billing this code