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#1059 of 11K

Z1034

HCPCS Procedure Code

HCPCS code Z1034 is the #1,059 most-billed Medicaid procedure code, with $45.0M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $54.74.

Total Paid

$45.0M

0.00% of all spending

Total Claims

2.6M

Providers

929

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for Z1034? Based on 467 providers billing this code nationally.

Median

$54.74

Average

$55.09

Std Dev

$9.92

Max

$162.11

Percentile Distribution (Cost per Claim)

p10
$53.45
p25
$54.43
Median
$54.74
p75
$55.25
p90
$59.60
p95
$62.21
p99
$73.20

50% of providers bill between $54.43 and $55.25 per claim for this code.

90% bill between $53.45 and $59.60.

Top 1% bill above $73.20.

About This Procedure

HCPCS code Z1034 was billed by 929 providers across 2.6M claims, totaling $45.0M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.74

Providers Billing

467

National Spending

$45.0M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z1034

#ProviderTotal Paid
11730136680$1.7M
21760545503$1.6M
31396721197$989K
41356498935$723K
51164061461$682K
61487095337$647K
71912176264$570K
81669548483$555K
91265538060$534K
101144304817$526K
111588843155$523K
121114301298$516K
131235138363$510K
141922305036$497K
151730258765$485K
161669776175$483K
171790701514$461K
181699152058$453K
191629107636$432K
201588012124$427K

Showing top 20 of 929 providers billing this code