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

#5668 of 11K

Z6302

HCPCS Procedure Code

HCPCS code Z6302 is the #5,668 most-billed Medicaid procedure code, with $158K in payments across 22K claims from 2018–2024. The national median cost per claim is $7.72. Costs vary widely — the 90th percentile is $20.50 per claim, 2.7× the median.

Total Paid

$158K

0.00% of all spending

Total Claims

22K

Providers

70

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for Z6302? Based on 18 providers billing this code nationally.

Median

$7.72

Average

$12.57

Std Dev

$9.49

Max

$45.75

Percentile Distribution (Cost per Claim)

p10
$7.57
p25
$7.61
Median
$7.72
p75
$14.77
p90
$20.50
p95
$25.75
p99
$41.75

50% of providers bill between $7.61 and $14.77 per claim for this code.

90% bill between $7.57 and $20.50.

Top 1% bill above $41.75.

About This Procedure

HCPCS code Z6302 was billed by 70 providers across 22K claims, totaling $158K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.72

Providers Billing

18

National Spending

$158K

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6302

#ProviderTotal Paid
11730136680$103K
21760545503$29K
31528365285$9K
41265539712$7K
51700023942$3K
61437221561$2K
71609913441$2K
81790836500$1K
91932399441$840
101568800100$414
111770799280$311
121508046251$304
131205845583$280
141962597807$215
151730258765$159
161033256573$122
171265552301$98
181639289564$92
191386689701$0
201801804398$0

Showing top 20 of 70 providers billing this code