Z5958
HCPCS Procedure Code
HCPCS code Z5958 is the #5,226 most-billed Medicaid procedure code, with $257K in payments across 2K claims from 2018–2024. The national median cost per claim is $160.51.
Total Paid
$257K
0.00% of all spending
Total Claims
2K
Providers
5
Avg Cost/Claim
$161
National Cost Distribution
How much do providers bill per claim for Z5958? Based on 5 providers billing this code nationally.
Median
$160.51
Average
$156.55
Std Dev
$31.62
Max
$184.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $147.35 and $182.59 per claim for this code.
90% bill between $123.38 and $183.99.
Top 1% bill above $184.83.
About This Procedure
HCPCS code Z5958 was billed by 5 providers across 2K claims, totaling $257K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$160.51
Providers Billing
5
National Spending
$257K
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5958
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902846306 | $105K |
| 2 | 1710065933 | $83K |
| 3 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $65K |
| 4 | 1467442749 | $3K |
| 5 | 1356523153 | $2K |
Showing top 5 of 5 providers billing this code