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#4092 of 11K

Z6204

HCPCS Procedure Code

HCPCS code Z6204 is the #4,092 most-billed Medicaid procedure code, with $860K in payments across 233K claims from 2018–2024. The national median cost per claim is $9.94.

Total Paid

$860K

0.00% of all spending

Total Claims

233K

Providers

390

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for Z6204? Based on 129 providers billing this code nationally.

Median

$9.94

Average

$11.24

Std Dev

$4.15

Max

$24.83

Percentile Distribution (Cost per Claim)

p10
$7.62
p25
$7.81
Median
$9.94
p75
$13.98
p90
$15.99
p95
$19.43
p99
$24.23

50% of providers bill between $7.81 and $13.98 per claim for this code.

90% bill between $7.62 and $15.99.

Top 1% bill above $24.23.

About This Procedure

HCPCS code Z6204 was billed by 390 providers across 233K claims, totaling $860K in Medicaid payments from 2018–2024. This code was used for 206K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.94

Providers Billing

129

National Spending

$860K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6204

#ProviderTotal Paid
11730136680$123K
21760545503$45K
31669776175$39K
41609913441$35K
51790701514$34K
61477069375$32K
71174501225$30K
81871553347$20K
91023000569$20K
101508136326$19K
111073578134$18K
121033256573$17K
131316455363$15K
141194840421$15K
151942531983$14K
161255849238$13K
171215263827$13K
181033142278$12K
191912176264$12K
201356414262$12K

Showing top 20 of 390 providers billing this code