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#3927 of 11K

Z6406

HCPCS Procedure Code

HCPCS code Z6406 is the #3,927 most-billed Medicaid procedure code, with $1.0M in payments across 303K claims from 2018–2024. The national median cost per claim is $10.45.

Total Paid

$1.0M

0.00% of all spending

Total Claims

303K

Providers

409

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for Z6406? Based on 132 providers billing this code nationally.

Median

$10.45

Average

$11.61

Std Dev

$4.19

Max

$30.04

Percentile Distribution (Cost per Claim)

p10
$7.62
p25
$7.89
Median
$10.45
p75
$14.82
p90
$17.18
p95
$19.02
p99
$23.03

50% of providers bill between $7.89 and $14.82 per claim for this code.

90% bill between $7.62 and $17.18.

Top 1% bill above $23.03.

About This Procedure

HCPCS code Z6406 was billed by 409 providers across 303K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 256K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.45

Providers Billing

132

National Spending

$1.0M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6406

#ProviderTotal Paid
11730136680$114K
21760545503$64K
31669776175$44K
41790701514$37K
51609913441$37K
61477069375$34K
71174501225$30K
81700023942$29K
91629107636$25K
101508136326$23K
111073578134$21K
121033256573$20K
131871553347$20K
141194840421$19K
151669548483$18K
161992754899$18K
171316455363$16K
181215263827$15K
191356498935$14K
201033142278$13K

Showing top 20 of 409 providers billing this code