Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7542 of 11K

Z6206

HCPCS Procedure Code

HCPCS code Z6206 is the #7,542 most-billed Medicaid procedure code, with $15K in payments across 1,564 claims from 2018–2024. The national median cost per claim is $12.01.

Total Paid

$15K

0.00% of all spending

Total Claims

1,564

Providers

11

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for Z6206? Based on 5 providers billing this code nationally.

Median

$12.01

Average

$11.89

Std Dev

$1.89

Max

$14.86

Percentile Distribution (Cost per Claim)

p10
$10.23
p25
$10.36
Median
$12.01
p75
$12.09
p90
$13.75
p95
$14.31
p99
$14.75

50% of providers bill between $10.36 and $12.09 per claim for this code.

90% bill between $10.23 and $13.75.

Top 1% bill above $14.75.

About This Procedure

HCPCS code Z6206 was billed by 11 providers across 1,564 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 1,429 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.01

Providers Billing

5

National Spending

$15K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6206

#ProviderTotal Paid
11265539712$7K
21023000569$4K
31265668784$2K
41790836500$2K
51194840421$145
61780195255$0
71629269618$0
81457385163$0
91386712065$0
10Bay Area Community Health

Fremont, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$0
111154503399$0

Showing top 11 of 11 providers billing this code