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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730136680 | $123K |
| 2 | 1760545503 | $45K |
| 3 | 1669776175 | $39K |
| 4 | 1609913441 | $35K |
| 5 | 1790701514 | $34K |
| 6 | 1477069375 | $32K |
| 7 | 1174501225 | $30K |
| 8 | 1871553347 | $20K |
| 9 | 1023000569 | $20K |
| 10 | 1508136326 | $19K |
| 11 | 1073578134 | $18K |
| 12 | 1033256573 | $17K |
| 13 | 1316455363 | $15K |
| 14 | 1194840421 | $15K |
| 15 | 1942531983 | $14K |
| 16 | 1255849238 | $13K |
| 17 | 1215263827 | $13K |
| 18 | 1033142278 | $12K |
| 19 | 1912176264 | $12K |
| 20 | 1356414262 | $12K |
Showing top 20 of 390 providers billing this code