Z5904
HCPCS Procedure Code
HCPCS code Z5904 is the #5,901 most-billed Medicaid procedure code, with $122K in payments across 2K claims from 2018–2024. The national median cost per claim is $54.86.
Total Paid
$122K
0.00% of all spending
Total Claims
2K
Providers
3
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for Z5904? Based on 3 providers billing this code nationally.
Median
$54.86
Average
$55.03
Std Dev
$1.19
Max
$56.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.40 and $55.57 per claim for this code.
90% bill between $54.12 and $56.00.
Top 1% bill above $56.26.
About This Procedure
HCPCS code Z5904 was billed by 3 providers across 2K claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.86
Providers Billing
3
National Spending
$122K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.