Z5940
HCPCS Procedure Code
HCPCS code Z5940 is the #7,492 most-billed Medicaid procedure code, with $16K in payments across 176 claims from 2018–2024. The national median cost per claim is $95.23.
Total Paid
$16K
0.00% of all spending
Total Claims
176
Providers
2
Avg Cost/Claim
$92
National Cost Distribution
How much do providers bill per claim for Z5940? Based on 2 providers billing this code nationally.
Median
$95.23
Average
$95.23
Std Dev
$5.54
Max
$99.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $93.27 and $97.19 per claim for this code.
90% bill between $92.10 and $98.36.
Top 1% bill above $99.07.
About This Procedure
HCPCS code Z5940 was billed by 2 providers across 176 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 94 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.23
Providers Billing
2
National Spending
$16K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.