#2098 of 11K

Z6500

HCPCS Procedure Code

HCPCS code Z6500 is the #2,098 most-billed Medicaid procedure code, with $9.0M in payments across 107K claims from 2018–2024. The national median cost per claim is $123.51.

Total Paid

$9.0M

0.00% of all spending

Total Claims

107K

Providers

251

Avg Cost/Claim

$85

National Cost Distribution

How much do providers bill per claim for Z6500? Based on 144 providers billing this code nationally.

Median

$123.51

Average

$125.53

Std Dev

$13.47

Max

$194.83

Percentile Distribution (Cost per Claim)

p10

$122.25

p25

$123.12

Median

$123.51

p75

$123.93

p90

$124.74

p95

$126.08

p99

$194.36

50% of providers bill between $123.12 and $123.93 per claim for this code.

90% bill between $122.25 and $124.74.

Top 1% bill above $194.36.

About This Procedure

HCPCS code Z6500 was billed by 251 providers across 107K claims, totaling $9.0M in Medicaid payments from 2018–2024. This code was used for 107K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$123.51

Providers Billing

144

National Spending

$9.0M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6500

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1790701514	$1.1M	$124.80	1.0× median	Top 10%
2	1730136680	$763K	$123.51	1.0× median	Above Median
3	1760545503	$567K	$123.47	1.0× median	Below Median
4	1003906553	$386K	$123.40	1.0× median	Below Median
5	1487095337	$333K	$123.32	1.0× median	Below Median
6	1912176264	$240K	$123.23	1.0× median	Below Median
7	1114301298	$222K	$123.85	1.0× median	Above Median
8	1699152058	$205K	$123.93	1.0× median	Above Median
9	1942416045	$198K	$123.80	1.0× median	Above Median
10	1477069375	$185K	$123.39	1.0× median	Below Median
11	1609913441	$179K	$123.96	1.0× median	Above 75th
12	1396721197	$178K	$124.98	1.0× median	Top 10%
13	1629107636	$149K	$122.52	1.0× median	Below Median
14	1356498935	$149K	$123.35	1.0× median	Below Median
15	1033256573	$137K	$123.75	1.0× median	Above Median
16	1265668784	$136K	$122.45	1.0× median	Below Median
17	1467411744	$135K	$123.28	1.0× median	Below Median
18	1669776175	$135K	$123.21	1.0× median	Below Median
19	1669548483	$132K	$123.32	1.0× median	Below Median
20	1164061461	$115K	$122.38	1.0× median	Below Median

Showing top 20 of 251 providers billing this code

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