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#2820 of 11K

Z4307

HCPCS Procedure Code

HCPCS code Z4307 is the #2,820 most-billed Medicaid procedure code, with $3.5M in payments across 114K claims from 2018–2024. The national median cost per claim is $25.14.

Total Paid

$3.5M

0.00% of all spending

Total Claims

114K

Providers

17

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for Z4307? Based on 17 providers billing this code nationally.

Median

$25.14

Average

$27.18

Std Dev

$10.51

Max

$51.28

Percentile Distribution (Cost per Claim)

p10
$16.63
p25
$23.74
Median
$25.14
p75
$27.24
p90
$43.23
p95
$51.28
p99
$51.28

50% of providers bill between $23.74 and $27.24 per claim for this code.

90% bill between $16.63 and $43.23.

Top 1% bill above $51.28.

About This Procedure

HCPCS code Z4307 was billed by 17 providers across 114K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 110K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.14

Providers Billing

17

National Spending

$3.5M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z4307

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$1.4M
2Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$674K
31477596583$541K
41700949336$347K
51710065933$184K
61811946734$171K
71811080526$50K
8Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$38K
91982667663$18K
101407813660$11K
111104906569$9K
121588721500$5K
131093910234$4K
14Bakersfield Memorial Hospital

Bakersfield, CA · General Acute Care Hospital

$4K
151437117074$1K
161710287297$865
171386637346$782

Showing top 17 of 17 providers billing this code