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#5226 of 11K

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)

p10
$123.38
p25
$147.35
Median
$160.51
p75
$182.59
p90
$183.99
p95
$184.46
p99
$184.83

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

#ProviderTotal Paid
11902846306$105K
21710065933$83K
3Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$65K
41467442749$3K
51356523153$2K

Showing top 5 of 5 providers billing this code

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