Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5077 of 11K

Z7512

HCPCS Procedure Code

HCPCS code Z7512 is the #5,077 most-billed Medicaid procedure code, with $301K in payments across 13K claims from 2018–2024. The national median cost per claim is $25.99.

Total Paid

$301K

0.00% of all spending

Total Claims

13K

Providers

31

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for Z7512? Based on 31 providers billing this code nationally.

Median

$25.99

Average

$21.42

Std Dev

$6.13

Max

$29.70

Percentile Distribution (Cost per Claim)

p10
$14.90
p25
$16.34
Median
$25.99
p75
$26.13
p90
$26.13
p95
$26.13
p99
$28.63

50% of providers bill between $16.34 and $26.13 per claim for this code.

90% bill between $14.90 and $26.13.

Top 1% bill above $28.63.

About This Procedure

HCPCS code Z7512 was billed by 31 providers across 13K claims, totaling $301K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.99

Providers Billing

31

National Spending

$301K

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z7512

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$120K
2Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$45K
31730233768$20K
41700949336$17K
5Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$14K
61326402884$14K
71841207750$14K
81982709572$13K
91811080526$12K
101780681189$10K
111821223827$4K
121710065933$4K
131457643405$2K
141821002007$2K
151568530939$2K
161194840421$1K
171225278997$983
18City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$849
191871939082$711
20Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$653

Showing top 20 of 31 providers billing this code