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#5465 of 11K

Z6202

HCPCS Procedure Code

HCPCS code Z6202 is the #5,465 most-billed Medicaid procedure code, with $194K in payments across 28K claims from 2018–2024. The national median cost per claim is $10.18.

Total Paid

$194K

0.00% of all spending

Total Claims

28K

Providers

78

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for Z6202? Based on 20 providers billing this code nationally.

Median

$10.18

Average

$12.94

Std Dev

$8.85

Max

$46.02

Percentile Distribution (Cost per Claim)

p10
$7.60
p25
$7.62
Median
$10.18
p75
$15.17
p90
$19.53
p95
$22.39
p99
$41.29

50% of providers bill between $7.62 and $15.17 per claim for this code.

90% bill between $7.60 and $19.53.

Top 1% bill above $41.29.

About This Procedure

HCPCS code Z6202 was billed by 78 providers across 28K claims, totaling $194K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.18

Providers Billing

20

National Spending

$194K

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6202

#ProviderTotal Paid
11730136680$105K
21760545503$44K
31609913441$12K
41528365285$9K
51700023942$5K
61265539712$5K
71033256573$4K
81205845583$3K
91790836500$2K
101437221561$2K
111265552301$951
121932399441$855
131508046251$312
141770799280$296
151962597807$215
161124296413$182
171891139309$114
181568800100$114
191639289564$92
201730258765$91

Showing top 20 of 78 providers billing this code