Z5942
HCPCS Procedure Code
HCPCS code Z5942 is the #4,163 most-billed Medicaid procedure code, with $795K in payments across 7K claims from 2018–2024. The national median cost per claim is $101.77.
Total Paid
$795K
0.00% of all spending
Total Claims
7K
Providers
6
Avg Cost/Claim
$114
National Cost Distribution
How much do providers bill per claim for Z5942? Based on 6 providers billing this code nationally.
Median
$101.77
Average
$114.54
Std Dev
$24.26
Max
$158.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $100.29 and $121.60 per claim for this code.
90% bill between $98.71 and $143.14.
Top 1% bill above $156.97.
About This Procedure
HCPCS code Z5942 was billed by 6 providers across 7K claims, totaling $795K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.77
Providers Billing
6
National Spending
$795K
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5942
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790816171 | $297K |
| 2 | 1710065933 | $224K |
| 3 | 1902803315 | $115K |
| 4 | 1902846306 | $92K |
| 5 | 1962800235 | $41K |
| 6 | 1487959938 | $25K |
Showing top 6 of 6 providers billing this code