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#4952 of 11K

Z6412

HCPCS Procedure Code

HCPCS code Z6412 is the #4,952 most-billed Medicaid procedure code, with $342K in payments across 22K claims from 2018–2024. The national median cost per claim is $15.32.

Total Paid

$342K

0.00% of all spending

Total Claims

22K

Providers

31

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for Z6412? Based on 22 providers billing this code nationally.

Median

$15.32

Average

$15.52

Std Dev

$5.25

Max

$25.95

Percentile Distribution (Cost per Claim)

p10
$8.27
p25
$11.73
Median
$15.32
p75
$20.24
p90
$20.45
p95
$20.56
p99
$24.82

50% of providers bill between $11.73 and $20.24 per claim for this code.

90% bill between $8.27 and $20.45.

Top 1% bill above $24.82.

About This Procedure

HCPCS code Z6412 was billed by 31 providers across 22K claims, totaling $342K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.32

Providers Billing

22

National Spending

$342K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6412

#ProviderTotal Paid
11023000569$156K
21265668784$55K
31265539712$38K
41790836500$20K
51609913441$17K
61891839270$13K
71316061674$10K
81033256573$8K
91356498935$8K
101871826925$4K
111669776175$4K
121073680757$3K
131457460503$2K
141457596371$878
151407941586$629
161396253340$472
171043241821$368
181508136326$263
191255849238$247
201568663573$139

Showing top 20 of 31 providers billing this code