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#4318 of 11K

Z6304

HCPCS Procedure Code

HCPCS code Z6304 is the #4,318 most-billed Medicaid procedure code, with $668K in payments across 190K claims from 2018–2024. The national median cost per claim is $8.43.

Total Paid

$668K

0.00% of all spending

Total Claims

190K

Providers

347

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for Z6304? Based on 114 providers billing this code nationally.

Median

$8.43

Average

$10.52

Std Dev

$4.53

Max

$29.91

Percentile Distribution (Cost per Claim)

p10
$7.60
p25
$7.69
Median
$8.43
p75
$12.34
p90
$15.52
p95
$20.23
p99
$26.30

50% of providers bill between $7.69 and $12.34 per claim for this code.

90% bill between $7.60 and $15.52.

Top 1% bill above $26.30.

About This Procedure

HCPCS code Z6304 was billed by 347 providers across 190K claims, totaling $668K in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.43

Providers Billing

114

National Spending

$668K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6304

#ProviderTotal Paid
11730136680$142K
21194840421$72K
31508136326$37K
41790701514$34K
51669776175$31K
61477069375$24K
71174501225$22K
81023000569$17K
91609913441$13K
101639289564$13K
111912176264$12K
121962688325$10K
131033256573$10K
141720217698$10K
151265539712$9K
161487095337$8K
171356414262$8K
181265668784$8K
191669548483$7K
201104991686$7K

Showing top 20 of 347 providers billing this code