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#5353 of 11K

Z6404

HCPCS Procedure Code

HCPCS code Z6404 is the #5,353 most-billed Medicaid procedure code, with $222K in payments across 35K claims from 2018–2024. The national median cost per claim is $9.53. Costs vary widely — the 90th percentile is $20.55 per claim, 2.2× the median.

Total Paid

$222K

0.00% of all spending

Total Claims

35K

Providers

93

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for Z6404? Based on 25 providers billing this code nationally.

Median

$9.53

Average

$11.81

Std Dev

$5.60

Max

$26.18

Percentile Distribution (Cost per Claim)

p10
$7.60
p25
$7.63
Median
$9.53
p75
$13.96
p90
$20.55
p95
$23.48
p99
$25.69

50% of providers bill between $7.63 and $13.96 per claim for this code.

90% bill between $7.60 and $20.55.

Top 1% bill above $25.69.

About This Procedure

HCPCS code Z6404 was billed by 93 providers across 35K claims, totaling $222K in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.53

Providers Billing

25

National Spending

$222K

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6404

#ProviderTotal Paid
11730136680$109K
21760545503$41K
31942531983$16K
41609913441$11K
51306939624$9K
61528365285$9K
71265539712$5K
81700023942$5K
91205845583$4K
101033256573$4K
111124296413$2K
121437221561$2K
131265552301$936
141932399441$871
151720217698$636
161568800100$543
171508046251$312
181588663769$290
191770799280$251
201891139309$228

Showing top 20 of 93 providers billing this code